icd 10 code for displaced type 2 odontoid fracture

Full Answer

What is the new ICD 10 for Type II dens fracture?

Short description: Nondisplaced Type II dens fracture, subs for fx w routn heal The 2022 edition of ICD-10-CM S12.112D became effective on October 1, 2021.

How do you code a displaced fracture in ICD 10?

These are all found in the ICD-10-CM Book in the guidelines about fracture coding. All fractures default to a displaced fracture if it is not documented as displaced or nondisplaced. (Displaced basically just means the bones are not lined up right). If the report specifies ‘nondisplaced’ fracture, then code it as nondisplaced.

What causes a type 2 odontoid fracture?

Type II odontoid fractures occur when the cervical spine is hyperflexed (bent severely backward) or hyperextended (bent severely forward). Hyperflexion and hyperextension can be caused by trauma such as a fall or whiplash from a motor vehicle accident.

What are the treatment options for Type II odontoid fractures?

Treatment options for type II odontoid fractures can be nonsurgical or surgical. Nonsurgical measures include immobilization, prevent or restrict movement, in a cervical collar or halo vest. Surgery may be required if the fracture has resulted in neurologic symptoms and/or the spine has become unstable.

What is Type 2 odontoid fracture?

A type II odontoid fracture is a break that occurs through a specific part of C2, the second bone in the neck. Bones of the spine are called vertebrae. The bone involved in odontoid fracture is the second vertebra, C2, high up in the neck.

What is the ICD-10 code for C2 fracture?

ICD-10 Code for Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for closed fracture- S12. 101A- Codify by AAPC.

Is type 2 odontoid fracture unstable?

A type II odontoid fracture is inherently unstable, and a rigid cervical orthosis is not the ideal treatment for such an injury. In the elderly population, many are not surgical candidates (due to comorbidities or poor bone quality), and the elderly typically poorly tolerate a halo vest immobilization.

Is C2 an Odontoid?

The odontoid process is a unique peg-like bony structure of the C2 (second cervical) vertebra in the neck that physicians sometimes refer to as the dens (Fig. 1).

What is the difference between a displaced and nondisplaced fracture?

Displaced Fracture: bone breaks into two or more pieces and moves out of alignment. Non-Displaced Fracture: the bone breaks but does not move out of alignment. Closed Fracture: the skin is not broken.

What is a C2 fracture?

A hangman's fracture is a break in the second vertebra of your neck, called the C2, or axis. This bone forms a ring around your spinal cord. A hangman's fracture occurs on both sides of this bone. Despite its gruesome name, a hangman's fracture is rarely caused by hangings.

What is the most common type of odontoid fracture?

Type II fractures occur at the base of the dens and are the most common odontoid fractures. This type is associated with a high prevalence of nonunion due to the limited vascular supply and small area of cancellous bone. Type III odontoid fracture occurs when the fracture line extends into the body of the axis.

Is the dens on C1 or C2?

C1 and C2 vertebrae. The C1 vertebra, also called atlas, is shaped like a ring. The C2 vertebra has an upward-facing long bony process called the dens. The dens forms a joint with the C1 vertebra and facilitates its turning motions, thereby allowing the head to turn in different directions.

What is the Odontoid bone?

The odontoid process, also known as the dens, is an upward projectile of bone that arises from the front part of the center of the axis vertebra. (The axis is the 2nd highest spinal bone.) The atlas is the first bone of your neck; it sits on top of the axis. (The skull sits on top of the atlas.)

What is a Type 3 odontoid fracture?

Type III fractures extend into the vertebral body and account of 39% of all odontoid fractures.[5] In general, the Type III fracture is believed to have high healing potential due to large fracture surface area through cancellous bone.[6] Current studies recommend nonsurgical management of Type III odontoid fractures ...

Where do we find Odontoid Ridge?

Description. The odontoid process (also dens or odontoid peg) is a protuberance (process or projection) of the Axis (second cervical vertebra). It exhibits a slight constriction or neck, where it joins the main body of the vertebra.

What is the C2 in your neck?

What are the C1 and C2 vertebrae? The C1 and C2 vertebrae are the highest of the spinal vertebrae and are located at the very top of the neck, connecting the head to the spine. The C1 vertebrae is named atlas and the C2 vertebrae is named axis.

The ICD code S121 is used to code Hangman's fracture

A hangman's fracture is the colloquial name given to a fracture of both pedicles or pars interarticularis of the axis vertebra (C2) (or epistropheus).

ICD-10-CM Alphabetical Index References for 'S12.11 - Type II dens fracture'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S12.11. Click on any term below to browse the alphabetical index.

What does closed fracture mean?

All fractures default to a “closed” fracture if it’s not documented. Closed fracture means that there’s a broken bone but it is not coming out through the skin. This is really gross to think about but since we’re coders, we have to. Basically, if the report states “open fracture,” you’d code it as open fracture.

What does it mean when a fracture is open?

But what that means is that the bone is so broken and messed up that you’d be able to see it. It’s through the skin (these are very bad fractures, sometimes from gunshot wounds and those types of injuries).

Make an Appointment

Our team of dedicated access representatives is here to help you make an appointment with the specialists that you need.

Symptoms

A fracture that compresses the spinal cord may injure its delicate fibers. This type of injury to the spinal cord is called myelopathy, and it may lead to neurological symptoms like pain or numbness in the back, legs, and arms.

Diagnosis

The doctor will take a complete medical history and perform a complete physical examination.

Risk Factors

Type II odontoid fractures occur when the cervical spine is hyperflexed (bent severely backward) or hyperextended (bent severely forward). Hyperflexion and hyperextension can be caused by trauma such as a fall or whiplash from a motor vehicle accident.

Treatments

Treatment options for type II odontoid fractures can be nonsurgical or surgical. Nonsurgical measures include immobilization, prevent or restrict movement, in a cervical collar or halo vest.