Symptoms include:
These imaging studies include:
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.
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.
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 .
ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.
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.
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.
03.
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.
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.
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.
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.
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.
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...•
grade 3 (severe fracture) - vertebral body height reduced > 40%