You would code the aftercare codes for follow up visits while the fracture is healing after the initial treatment. The guidelines state: "Fractures are coded using the aftercare codes for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture
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).
the spinal canal and create more space for the spinal cord and spinal nerves. So even if the surgeon uses the word laminotomy, he is still decompressing the nerve preventing radiculopathy. Use CPT 63045 for cervical or CPT 63047 for lumbar, with additional levels billed with add-on Code +63048 unilateral or bilateral.
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.
ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.
03.
ICD-10-CM Code for Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture S22. 000A.
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.
Wedge compression fracture of second lumbar vertebra, initial encounter for closed fracture. S32. 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 S32.
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.
Fracture of lumbar vertebra ICD-10-CM S32. 009A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
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.
Vertebra fractures are usually due to conditions such as: osteoporosis (a condition which weakens the bones), a very hard fall, excessive pressure, or some kind of physical injury. When a bone in the spine collapses, it is called a vertebral compression fracture.
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.
5 – Low Back Pain. ICD-Code M54. 5 is a billable ICD-10 code used for healthcare diagnosis reimbursement of chronic low back pain.