Compression Fracture Diagnosis. Your doctor will begin to diagnose a possible compression fracture with a physical exam and will check whether your upper spine is hunched forward. You may also receive one or more scans: Bone Density Test (if osteoporosis is suspected) X-ray. Magnetic Resonance Imaging (MRI) Computed Tomography Scan (CT or CAT scan)
Symptoms include:
The main clinical symptoms of VCFs may include any of the following, alone or in combination:
In ICD-10-CM, codes for compression and pathologic fractures of the spine (not due to trauma) are located in Chapter 13, Diseases of the Musculoskeletal System and Connective Tissue. Category M48. 5-, Collapsed vertebra, not elsewhere classifiable is used for vertebrae fracture where no cause is listed.
ICD-10 Code for Wedge compression fracture of T5-T6 vertebra, initial encounter for closed fracture- S22. 050A- Codify by AAPC.
When a bone in the spine collapses, it is called a vertebral compression fracture. These fractures happen most commonly in the thoracic spine (the middle portion of the spine), particularly in the lower vertebra of the thoracic spine.
S22. 040 - Wedge compression fracture of fourth thoracic vertebra | ICD-10-CM.
080D for Wedge compression fracture of T11-T12 vertebra, subsequent encounter for fracture with routine healing is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
S32. 010A Wedge compression fracture of first lumbar vertebra, init - ICD-10-CM Diagnosis Codes.
A compression fracture occurs when the front of a vertebra breaks and loses a little of its height, but the back of that vertebra remains intact. Symptoms include pain in the back and sometimes in the arms or legs.
Compression fractures of the spine usually occur at the bottom part of the thoracic spine (T11 and T12) and the first vertebra of the lumbar spine (L1). Compression fractures of the spine generally occur from too much pressure on the vertebral body.
Publish Date: Dec 03, 2020. The T9, T10, T11, and T12 vertebrae form the base of the thoracic spine. The thoracic spine is made up of 12 segments total between the cervical and lumbar levels. Sections T9 - T12 are known as transitional vertebrae because of their proximity and similarity to the lumbar vertebrae.
Wedge compression fracture of second thoracic vertebra, initial encounter for closed fracture. S22. 020A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S22.
If you have no other documentation about the fracture (e.g. whether this is a pathological or a traumatic fracture), then this would code to category M48. 5 - Compression fracture of vertebra NOS, so I would use M48. 56XA for the lumbar site.
Although all compression fractures have an underlying pathology, the term pathologic vertebral compression fracture (pVCF) is traditionally reserved for fractures that result from primary or metastatic spine tumors.
Spine compression fractures are serious, and they can cause painful or debilitating symptoms that interfere with your quality of life. Fortunately, treatment can help repair the damage and relieve symptoms.
Treatment of compression fractures may include medicine, rest, a back brace, or physical therapy. Sometimes, surgery is needed. The risk of new fractures can be reduced by doing regular weight-bearing exercises that increase strength, and balance exercises that reduce the risk for falls.
Many spine compression fractures heal in two or three months. If you have osteoporosis, a full recovery may take as long as a year. Regular follow-up visits during this time allow your doctor to evaluate the fractured vertebra and the way your spine is responding to the injury.
Fracture-dislocations of the thoracic and lumbar spine are caused by very high-energy trauma. They can be extremely unstable injuries that often result in serious spinal cord or nerve damage. These injuries require stabilization through surgery. The ideal timing of surgery can often be complicated.
Fracture of thoracic vertebra 1 S22.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM S22.0 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S22.0 - other international versions of ICD-10 S22.0 may differ.
Code to highest level of thoracic spinal cord injury. Injuries to the spinal cord ( S24.0 and S24.1) refer to the cord level and not bone level injury, and can affect nerve roots at and below the level given. Type 2 Excludes.
542 Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
The 2022 edition of ICD-10-CM M48.54XA became effective on October 1, 2021.