Odontoid = A peg-like part of the second bone in the neck. Fracture = A break in a bone. A type II odontoid fracture is a break that occurs through a specific part of C2, the second bone in the neck. Bones of the spine are called vertebrae.
ICD-10-CM Code for Posterior displaced Type II dens fracture S12. 111.
The odontoid process, or dens, is a superior projecting bony element from the second cervical vertebrae (C2, or the axis). The first cervical vertebrae (atlas) rotates around the odontoid process to provide the largest single component of lateral rotation of the cervical spine.
The odontoid process is a unique peg-like bony structure of the C2 (second cervical) vertebra in the neck that physicians sometimes refer to as the dens (Fig. 1).
ICD-10 Code for Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for closed fracture- S12. 101A- Codify by AAPC.
Type 1 fractures occur at the tip of the dens and are considered avulsion fractures of the alar ligaments. Although relatively rare, these injuries are considered stable and heal well with a rigid collar. Type 2 fractures occur through the odontoid process and are generally considered unstable injuries.
Type II fractures occur at the base of the dens and are the most common odontoid fractures. This type is associated with a high prevalence of nonunion due to the limited vascular supply and small area of cancellous bone. Type III odontoid fracture occurs when the fracture line extends into the body of the axis.
: a toothlike process projecting from the anterior end of the centrum of the axis vertebra on which the atlas vertebra rotates.
A hangman's fracture is a break in the second vertebra of your neck, called the C2, or axis. This bone forms a ring around your spinal cord. A hangman's fracture occurs on both sides of this bone. Despite its gruesome name, a hangman's fracture is rarely caused by hangings.
Diagnosis can be made with standard lateral and open-mouth odontoid radiographs. Some fractures may be difficult to visualize on Xrays and require a CT scan to diagnose. MRI is rarely indicated as these fractures are usually not associated with neurologic symptoms.
Description. The odontoid process (also dens or odontoid peg) is a protuberance (process or projection) of the Axis (second cervical vertebra). It exhibits a slight constriction or neck, where it joins the main body of the vertebra.
C1 and C2 vertebrae. The C1 vertebra, also called atlas, is shaped like a ring. The C2 vertebra has an upward-facing long bony process called the dens. The dens forms a joint with the C1 vertebra and facilitates its turning motions, thereby allowing the head to turn in different directions.
S12.120D is a billable diagnosis code used to specify a medical diagnosis of other displaced dens fracture, subsequent encounter for fracture with routine healing. The code S12.120D is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code S12.120D might also be used to specify conditions or terms like fracture of odontoid process, fracture of odontoid process, fracture of odontoid process type i, fracture of odontoid process type iii or type iii fracture of odontoid process of axis. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#S12.120D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like other displaced dens fracture for fracture with routine healing. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content. A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.
Also called: Broken bone. A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones.
S12.112A is a billable diagnosis code used to specify a medical diagnosis of nondisplaced type ii dens fracture, initial encounter for closed fracture. The code S12.112A is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code S12.112A might also be used to specify conditions or terms like fracture of odontoid process or fracture of odontoid process type ii.#N#S12.112A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like nondisplaced type ii dens fracture for closed fracture. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.#N#The code S12.112A is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Communication With The Physician Or Other Clinician Managing On-going Care Post-fracture For Men And Women Aged 50 Years And Older , Osteoporosis Management In Women Who Had A Fracture.
A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.