ICD-10-CM Code S22.000 Wedge compression fracture of unspecified thoracic vertebra. ICD Code S22.000 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'wedge compression fracture of unspecified thoracic vertebra' in more detail.
Compression Fracture Diagnosis. Your doctor will begin to diagnose a possible compression fracture with a physical exam and will check whether your upper spine is hunched forward. You may also receive one or more scans: Bone Density Test (if osteoporosis is suspected) X-ray. Magnetic Resonance Imaging (MRI) Computed Tomography Scan (CT or CAT scan)
Symptoms include:
The main clinical symptoms of VCFs may include any of the following, alone or in combination:
These imaging studies include:
Wedge compression fracture of second thoracic vertebra, initial encounter for closed fracture. S22. 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 S22.
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.
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.
Multiple fractures of ribs ICD-10-CM S22. 43XA is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
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.
There are three types of compression fractures: wedge, crush, and burst.
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 third lumbar vertebra, initial encounter for closed fracture. S32. 030A 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.
ICD-10 Code for Multiple fractures of ribs, bilateral- S22. 43- Codify by AAPC.
ICD-10 Code for Multiple fractures of ribs, right side- S22. 41- Codify by AAPC.
Evidence-based therapeutic interventionsCatheter-based analgesia. Catheter-based analgesia, including epidural and paravertebral nerve catheters, may be beneficial in patients with multiple rib fractures. ... Multimodal pain therapy. ... Pulmonary hygiene. ... Operative stabilization.
There are both conservative and surgical treatment modalities for the fracture: conservative treatments include pharmacological treatments and orthosis; surgical treatments include vertebroplasty, kyphoplasty, and reconstructive surgery.
Spine compression fractures are serious, and they can cause painful or debilitating symptoms that interfere with your quality of life. Fortunately, treatment can help repair the damage and relieve symptoms.
Treatment of compression fractures may include medicine, rest, a back brace, or physical therapy. Sometimes, surgery is needed. The risk of new fractures can be reduced by doing regular weight-bearing exercises that increase strength, and balance exercises that reduce the risk for falls.
Spinal fractures may occur due to a variety of factors. The most common cause is related to trauma such as high velocity car accidents, fall from height, or high impact sports. Other causes may include pathologic fractures related to osteoporosis or cancer.
Fracture of thoracic vertebra 1 S22.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM S22.0 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S22.0 - other international versions of ICD-10 S22.0 may differ.
Code to highest level of thoracic spinal cord injury. Injuries to the spinal cord ( S24.0 and S24.1) refer to the cord level and not bone level injury, and can affect nerve roots at and below the level given. Type 2 Excludes.
542 Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
The 2022 edition of ICD-10-CM M48.54XA became effective on October 1, 2021.
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.
I don't believe Medicare is covering the M48.5- code for Kyphoplasty anymore. You could use a M80.08X- or M80.88X- or the corresponding level code S32.0xxA code