Unspecified fracture of second lumbar vertebra, initial encounter for open fracture. S32. 029B is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
S32. 000A - Wedge compression fracture of unspecified lumbar vertebra [initial encounter for closed fracture] | ICD-10-CM.
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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.
Compression fractures are small breaks or cracks in the vertebrae (the bones that make up your spinal column). The breaks happen in the vertebral body, which is the thick, rounded part on the front of each vertebra. Fractures in the bone cause the spine to weaken and collapse. Over time, these fractures affect posture.
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.
ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.
A spinal compression fracture occurs when the vertebral body in the front of your spine gets compressed due to axial loading. Underlying medical conditions, such as osteoporosis and spinal tumors are common causes for these fractures.
Transverse process fractures are a type of spinal fracture. The transverse process is the bony projection on either side of your vertebrae (the bones that make up your spinal column). They're usually caused by traumas like any other type of broken bone.
Pathological spine fractures are the result of an underlying disease process that affects the spine. They are called vertebral compression fractures and are common, and frequent in the elderly. They may be caused by osteoporosis, Paget's disease, other diseases and spinal infections (osteomyelitis).
The most common type of compression fracture is a wedge fracture, in which the front of the vertebral body collapses but the back does not, meaning that the bone assumes a wedge shape. Sometimes, more than one vertebra fractures, a condition called multiple compression fractures.
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.