The L1 vertebra is located in the spinal column of the lumbar (lower back) region inferior to the T12 vertebra and superior to the L2 vertebra. Like the other lumbar vertebrae, L1 has a large, roughly cylindrical region of bone known as the body, or centrum, which makes up most of its mass.
Traumatic L1 Vertebral Body Fracture
What is the L1 Vertebra? What Are the Symptoms of an L1 Injury? The L1 vertebra is the topmost section of the lumbar spinal column. This section of the spine contains a portion of the spinal cord. Injuries to the L1 spine can affect hip flexion, cause paraplegia, loss of bowel/bladder control, and/or numbness in the legs. What is the L2 Vertebra?
The L1 vertebra is level with the ninth rib and the connection between the stomach and the small intestine. Flexion and extension in the L1 vertebrae averages about 10 to 12 degrees.
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.
A spinal fracture due to osteoporosis (weak bones) is commonly referred to as a compression fracture, but can also be called a vertebral fracture, osteoporotic fracture, or wedge fracture.
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.
Fracture of lumbar vertebra ICD-10-CM S32. 009A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
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 .
The L1 vertebra is located in the spinal column of the lumbar (lower back) region inferior to the T12 vertebra and superior to the L2 vertebra. Like the other lumbar vertebrae, L1 has a large, roughly cylindrical region of bone known as the body, or centrum, which makes up most of its mass.
Compression fractures of the spine usually occur at the bottom part of the thoracic spine (T11 and T12) and the first vertebra of the lumbar spine (L1). Compression fractures of the spine generally occur from too much pressure on the vertebral body.
If you have a fracture below the L1-L2 (first and second vertebrae in the lumbar spine), you won't have a spinal cord injury, but it's still possible to injure the nerves. Your back also has muscles, ligaments, tendons, and blood vessels. Muscles are strands of tissues that power your movement.
A T12 or L1 compression fracture most commonly happens as a wedge fracture, which occurs when the front part of the vertebra collapses and the back doesn't, making the bone look like a wedge. Osteoporosis, which causes decreased bone density, is a common risk factor for compression fractures.
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Compression fractures are small breaks in the vertebrae (bones in your spine). They're more common in women over 50. As bones weaken with age and osteoporosis, they're more likely to break. Over time, breaks in the vertebrae cause the spine to collapse and curve over.
A wedge fracture is the most common type of compression fracture. It usually occurs in the front of the cylinder-shaped vertebra, causing the front of the vertebra to collapse but leaving the back of the bone intact, resulting in a wedge shape.
The ICD code S32 is used to code Abdominal trauma. 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.
Use a child code to capture more detail. ICD Code S32.01 is a non-billable code.