Short description: Wedge compression fracture of T11-T12 vertebra, init The 2021 edition of ICD-10-CM S22.080A became effective on October 1, 2020. This is the American ICD-10-CM version of S22.080A - other international versions of ICD-10 S22.080A may differ.
You could use a M80.08X- or M80.88X- or the corresponding level code S32.0xxA code 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.
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. I don't believe Medicare is covering the M48.5- code for Kyphoplasty anymore.
Selecting the correct ICD-10 code for disc disorders can take a little bit of research. There are many options found in the M50 and M51 categories, which are: M51- Thoracic, Thoracolumbar, and Lumbosacral Intervertebral Disc Disorders The fifth character provides detail about the anatomical location within the spinal region.
Burst fractures are a type of compression fracture related to high-energy axial loading spinal trauma that results in disruption of a vertebral body endplate and the posterior vertebral body cortex. Retropulsion of posterior cortex fragments into the spinal canal is frequently included in the definition.
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.
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.
In a compression fracture, the vertebral body collapses. 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.
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 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.
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.
A compression fracture occurs when the front of a vertebra breaks and loses a little of its height, but the back of that vertebra remains intact. Symptoms include pain in the back and sometimes in the arms or legs.
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.
A compression fracture is a condition in which a vertebra is crushed only in the front part of the spine, causing a wedge shape. If a vertebra is crushed in all directions, the condition is called a burst fracture. Burst fractures are much more severe than compression fractures.
Stress Fracture - A stress fracture occurs as a result of overuse. Because of repeated use, the bone becomes weak and cannot absorb the shock that is put on it. It is common in the lower leg or foot and especially among athletes. Compression Fracture - A compression fracture occurs as a result of old age.
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.
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.
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.
The ‘S’ is added only to the injury code, not the sequela code. The seventh character ‘S’ identifies the injury responsible for the sequela. The specific type of sequela (e.g. scar) is sequenced first, followed by the injury code.”.
Rationale: The complete paraplegia is a sequela of the burst fracture of the T3 vertebral fracture and resulting spinal cord injury.
S93.412S Sprain of calcaneofibular ligament of the left ankle, sequela
Rationale: Scar contractures due to burn injury are reported with code L90.5 that is the first-listed or principal diagnosis and the burn injury is reported as a secondary code to identify the cause of the sequela.
The sequela code may also be expanded at the fourth, fifth, or sixth character levels to include the manifestation
Though it is not specifically mentioned, “thoracolumbar” likely only includes T12-L1, and “lumbosacral” probably only refers to the L5-S1 interspace. There is a strange rule for cervical disc disorders indicating that you should code to the most superior level of the disorder.
These spinal disc codes appear to be a bit complex, but with some study and evaluation, the logic used to create them becomes clear. The provider can use the codes to guide proper documentation and the coder then can select the right codes with confidence.
It is already included in the code. Likewise, don’t code sciatica (M54.3-) if you code for lumbar disc with radiculopathy. It would be redundant. On a side note, lumbar radiculopathy (M54.16) might be used if pain is not yet known to be due a disc, but it radiates from the lumbar spine.