Unspecified fracture of first thoracic vertebra, initial encounter for closed fracture
Unspecified fracture of first thoracic vertebra, initial encounter for closed fracture 1 S22.019A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis... 2 Short description: Unsp fracture of first thoracic vertebra, init for clos fx. 3 The 2019 edition of ICD-10-CM S22.019A became effective on October 1, 2018.
Closed fracture of first thoracic vertebra T1 (first thoracic vertebra) fracture ICD-10-CM S22.019A is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 551 Medical back problems with mcc
These are all found in the ICD-10-CM Book in the guidelines about fracture coding. All fractures default to a displaced fracture if it is not documented as displaced or nondisplaced. (Displaced basically just means the bones are not lined up right). If the report specifies ‘nondisplaced’ fracture, then code it as nondisplaced.
Just in general, here are some more facts about fracture coding. These are all found in the ICD-10-CM Book in the guidelines about fracture coding. All fractures default to a displaced fracture if it is not documented as displaced or nondisplaced.
A fracture of the spinous process of C7 and/or T1 is called clay-shoveler's fracture. This fracture occurs due to repetitive and forceful pull of the upper back muscles on these spinous processes. See Vertebral Fracture Symptoms.
This type of fracture is rare in the upper thoracic spine and is considered unstable. If the injury occurs at the junction of the thoracic vertebrae and the lumbar vertebrae, the injury is called a chance fracture.
ICD-10-CM Code for Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture S22. 000A.
In ICD-10-CM a fracture not indicated as displaced or nondisplaced should be coded to displaced, and a fracture not designated as open or closed should be coded to closed. While the classification defaults to displaced for fractures, it is very important that complete documentation is encouraged.
The thoracic vertebrae T1 is located in the upper part of the back. It's the first section of the thoracic vertebrae, so it is located between the seventh cervical vertebra (C7) and T2.
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.
ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.
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.
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.
Fractures are coded using the appropriate 7th character extension for subsequent care 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.
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 .
When you pick unknown it means your doctor has no idea what bone is broken or just says generic "wrist fracture".
Supply Areas. Thoracic spinal nerves serve the region thus: T1 and T2 (top two thoracic nerves) feed into nerves that go into the top of the chest as well as into the arm and hand. T1 is also part of the Brachial Plexus.
Minor fractures of the spine can be healed with rest and medication, however, more severe fractures might require surgery to realign the bones. If left untreated, spinal fractures can lead to permanent spinal cord injury, nerve damage and paralysis.
The first thoracic vertebra, T-1, is the vertebra where the top rib attaches. Spinal cord injuries in the thoracic region usually affect the chest and the legs, resulting in paraplegia.
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.
S22.0. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code S22.0 is a non-billable code.
A chest injury is any form of physical injury to the chest including the ribs, heart and lungs. Chest injuries account for 25% of all deaths from traumatic injury. Typically chest injuries are caused by blunt mechanisms such as motor vehicle collisions or penetrating mechanisms such as stabbings. Specialty:
All fractures default to a “closed” fracture if it’s not documented. Closed fracture means that there’s a broken bone but it is not coming out through the skin. This is really gross to think about but since we’re coders, we have to. Basically, if the report states “open fracture,” you’d code it as open fracture.
But what that means is that the bone is so broken and messed up that you’d be able to see it. It’s through the skin (these are very bad fractures, sometimes from gunshot wounds and those types of injuries).