Spinal fractures or a dislocation of one or more vertebrae in a spine caused by trauma is considered a serious orthopedic injury. The majority of these fractures occur as a result from a high velocity accident and can occur in the neck (cervical spine), mid back (thoracic spine) or low back (lumbar spine).
Fracture Codes . Assign separate codes for each fracture unless there is a combination code. When multiple fractures or injuries occur at the same time, the provider determines the diagnosis for the most serious fracture/injury and the focus of treatment (sequenced first). Also, assign the appropriate 7. th. character (see below for descriptions).
Aftercare for healing fracture-code to fracture with 7th character D ICD-10-CM Alphabetical Index References for 'Z47 - Orthopedic aftercare' The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z47.
Diagnosis Doctors diagnose shoulder fractures by getting the patient's medical history, performing a physical exam and taking X-rays . CT scans can be helpful in some instances, as can an MRI, which provides images of the rotator cuff, labrum and other shoulder structures that might also be injured.
Fracture of lumbar vertebra ICD-10-CM S32. 009A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
03.
ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.
6: Pain in thoracic spine.
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.
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 .
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.
In a compression fracture, the vertebral body collapses. 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.
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.
The current code, M54. 5 (Low back pain), will be expanded into three more specific codes: M54. 50 (Low back pain, unspecified)
9: Dorsalgia, unspecified.
ICD-9 Code Transition: 723.1 Code M54. 2 is the diagnosis code used for Cervicalgia (Neck Pain). It is a common problem, with two-thirds of the population having neck pain at some point in their lives.
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.
ICD-10 code Z87. 81 for Personal history of (healed) traumatic fracture is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
In a Chance fracture, the bony elements of the spine are fractured but the ligaments remain intact. These injuries are highly unstable and often involve other abdominal injuries.
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.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.
The 2021 edition of ICD-10-CM S32.009 became effective on October 1, 2020.
The 2022 edition of ICD-10-CM S12.9XXA became effective on October 1, 2021.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.
Note. A fracture not indicated as displaced or nondisplaced should be coded to displaced. A fracture not indicated as open or closed should be coded to closed. Fracture of cervical vertebra and other parts of neck.
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier.
Abdominal trauma is an injury to the abdomen. It may be blunt or penetrating and may involve damage to the abdominal organs. Signs and symptoms include abdominal pain, tenderness, rigidity, and bruising of the external abdomen. Abdominal trauma presents a risk of severe blood loss and infection.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S32.9. Click on any term below to browse the alphabetical index.