icd 10 code for compression fractures in spine

by Dr. Demario Krajcik IV 10 min read

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.Nov 20, 2020

How do compression fractures affect the spine?

Symptoms include:

  • Height loss. ...
  • Kyphosis (curved back): When vertebrae collapse, they form a wedge shape, which makes the spine bend forward. ...
  • Stomach problems: A shorter spine can compress your stomach, causing digestive problems like constipation, a weak appetite, and weight loss.
  • Hip pain: The shorter spine brings your rib cage closer to your hipbones. ...

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How is a spinal compression fracture treated?

These imaging studies include:

  • CT scan, spine X-ray or MRI to show images of your spine and look for fractures and other injuries.
  • Dual-energy X-ray absorptiometry (DEXA) scan, a special type of X-ray that measures bone loss (bone density test).
  • Myelogram, a procedure your provider uses along with an imaging study. ...

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Is a spine fracture serious?

Spinal fractures can vary widely in severity. Some fractures are very serious injuries that result from high-energy trauma and require emergency treatment. Other fractures can be the result of a lower-impact event, such as a minor fall, in an older person whose bones are weakened by osteoporosis.

What is a lumbar compression fracture?

This section of the back is called the lumbar region. Because these vertebrae are so large and carry the biggest load of the back, they are sometimes fractured. A lumbar compression fracture is the fracturing of lumbar vertebrae that causes the vertebrae to compress or flatten down. The largest vertebrae are in the lumbar region.

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What is the ICD-10 code for spinal compression fracture?

000A for Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

What is the ICD-10 for l1 compression fracture?

ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.

What is the ICD-10 code for multiple compression fractures?

Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture. S22. 000A 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.

How do you code compression fractures?

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.

What is the ICD 10 code for l3 compression fracture?

03.

What is the ICD 10 code for l4 compression fracture?

Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion. S32. 040K 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 S32.

What is the ICD 10 code for t2 compression fracture?

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.

What is a compression fracture of the thoracic spine?

Vertebral compression fractures (VCFs) occur when the bony block or vertebral body in the spine collapses, which can lead to severe pain, deformity and loss of height. These fractures more commonly occur in the thoracic spine (the middle portion of the spine), especially in the lower part.

Is a compression fracture considered a pathological fracture?

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.

How do you code a fracture in ICD-10?

In ICD-10-CM a fracture not indicated as displaced or nondisplaced should be coded to displaced, and a fracture not designated as open or closed should be coded to closed. While the classification defaults to displaced for fractures, it is very important that complete documentation is encouraged.

How do you code a fractured vertebrae?

You should consider the exact anatomic location when it comes to coding for collapsed vertebra.M48.52XA: Collapsed vertebra, not elsewhere classified, cervical region, initial encounter for fracture.M48.54XA: Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture.More items...•

What is a Grade 3 compression fracture?

grade 3 (severe fracture) - vertebral body height reduced > 40%