icd 10 code for type 1 odontoid fracture

Full Answer

What is a type I odontoid fracture?

A type I odontoid fracture occurs when the rostral tip of the odontoid process is avulsed (broken or torn off).  This injury commonly occurs due to pulling forces from the apical ligament attachment to the odontoid process. The apical ligament attaches the tip of the odontoid process to the foramen magnum (skull base).

What is the pathophysiology of an odontoid fracture?

Odontoid fractures occur as a result of trauma to the cervical spine. In younger patients, they are typically the result of high-energy trauma, which occurs as a result of motor vehicle or diving accidents. In the elderly population, the trauma can occur after lower energy impacts such as falls from a standing position.

What are the treatment options for Type II odontoid fractures?

The configuration of type II odontoid fracture and the age of the patient also play important roles in treatment decisions. The current treatment options for a type II odontoid fracture include rigid cervical orthosis, halo vest immobilization, odontoid screw, transoral odontoidectomy, and posterior instrumentation.

What are the signs and symptoms of odontoid fractures?

Younger patients with an odontoid fracture typically have identifiable recent trauma (motor vehicle accident, sports-related impact, diving accident, fall from a height or downstairs).

What is the ICd 10 code for dens fracture?

When will the ICD-10-CM S12.11 be released?

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What is a Type 1 odontoid fracture?

A type I odontoid fracture occurs when the rostral tip of the odontoid process is avulsed (broken or torn off). This injury commonly occurs due to pulling forces from the apical ligament attachment to the odontoid process. The apical ligament attaches the tip of the odontoid process to the foramen magnum (skull base).

What is the ICD 10 code for type 2 odontoid fracture?

ICD-10-CM Code for Posterior displaced Type II dens fracture S12. 111.

Is Odontoid a C1 or C2?

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). Odontoid fractures can happen at any age, but the injury occurs most often in adolescents or older patients.

Is C1 an Odontoid?

One of the unique features of this joint is a peg of bone called the odontoid process (sometimes called the dens). It is about the size of the tip of a pinky finger. The odontoid process sticks up from the front of C2 and fits into a groove in C1.

What is the ICD 10 code for c1 fracture?

000A for Unspecified displaced fracture of first cervical vertebra, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

What is the ICD 10 code for l1 compression fracture?

ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.

What is the most common odontoid fracture?

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.

What is an l1 burst fracture?

If a vertebra is crushed in all directions, the condition is called a burst fracture. Burst fractures are much more severe than compression fractures. The bones spread out in all directions and may damage the spinal cord.

Which cervical has odontoid process?

second cervical vertebraIn its place, the odontoid process of the second cervical vertebra (called the dens for toothlike) fills the void and articulates on the posterior surface of the anterior arch of the atlas, held firmly in place by two cruciate ligaments and the odontoid ligament, which attaches the dens to the occiput.

What is a C1 fracture?

A Jefferson fracture is another name for a bone fracture of the front and back arches of the C1 vertebra. The C1 vertebra is the top one, closest to your skull. C1 fractures represent about 2 percent of all vertebral fractures, according to a 2013 review.

What is the Odontoid why would its fracture be significant?

Definition/Description The odontoid process, also called the dens, is a protuberance of the axis. Life-threatening fractures can occur as a result of forces acting on this anatomical structure due to its proximity to the spinal cord and brainstem.

Where do we find Odontoid Ridge?

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.

2022 ICD-10-CM Code S12.120D - Other displaced dens fracture ...

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 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.

ICD-10-CM Code S12.11 - Type II dens fracture

ICD Code S12.11 is a non-billable code. To code a diagnosis of this type, you must use one of the three child codes of S12.11 that describes the diagnosis 'type ii dens fracture' in more detail.

S12.110K - ICD-10-CM Anterior displ Type II dens fracture, subs for fx ...

S12.110K is a valid billable ICD-10 diagnosis code for Anterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion.It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022.. POA Exempt

2022 ICD-10-CM Diagnosis Code S32.02: Fracture of second lumbar vertebra

Free, official coding info for 2022 ICD-10-CM S32.02 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.

What are C2 odontoid fractures? - Medscape

Incidence of odontoid fractures approaches 15% of all C-spine fractures. Usually, these fractures are secondary to MVAs or falls.{ref2} When an odontoid fracture is suspected, it is important to ...

2022 ICD-10-CM Diagnosis Code S22.0: Fracture of thoracic vertebra

Free, official coding info for 2022 ICD-10-CM S22.0 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.

What is the ICd 10 code for dens fracture?

Type II dens fracture 1 S12.11 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 S12.11 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S12.11 - other international versions of ICD-10 S12.11 may differ.

When will the ICD-10-CM S12.11 be released?

The 2022 edition of ICD-10-CM S12.11 became effective on October 1, 2021.

What is the best treatment for a type II odontoid fracture?

If the patient has certain risk factors for nonunion, then posterior instrumentation may provide the best treatment option for a type II odontoid fracture. The risk factors include:

What causes odontoid fractures?

Odontoid fractures occur as a result of trauma to the cervical spine. In younger patients, they are typically the result of high-energy trauma, which occurs as a result of motor vehicle or diving accidents. In the elderly population, the trauma can occur after lower energy impacts such as falls from a standing position. The most common mechanism of injury is a hyperextension of the cervical spine, pushing the head and C1 vertebrae backward.  If the energy mechanism and resulting force are high enough (or the patient's bone density is compromised secondary to osteopenia/osteoporosis), the odontoid will fracture with varying displacement and degrees of comminution.

What is a C2 fracture?

Fractures of the second cervical vertebrae (C2) are the most common cervical spine injuries in the elderly population. The most common type of C2 fracture is a fracture to its odontoid process (or dens).  Odontoid fractures demonstrate a biphasic distribution with peak incidence rates reported in younger patients (ages 20 to 30 years) secondary to high energy mechanisms (i.e., motor vehicle accident), followed by elderly patient populations (ages 70 to 80 years) secondary to compromised bone density and low energy impact falls.

How long does it take for an odontoid fracture to heal?

Most consider a type I odontoid fracture a stable fracture and treat for six to 12 weeks in a rigid cervical orthosis (hard cervical collar). Some have suggested that rarely a type I odontoid fracture may be unstable secondary to more extensive and unrecognized ligamentous injury, and flexion/extension x-rays should be obtained at the time of removal of the cervical collar after six to 12 weeks to ensure cervical stability.

What is the odontoid process?

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. Fracture of the odontoid process is classified into one of three types, which are type I, type II, or type III fractures, depending on the location and morphology of the fracture.[1]

What is the best imaging modality for odontoid fracture?

The imaging modality of choice is a CT of the cervical spine. The CT provides the best resolution of the bony elements allowing for identification and characterization of an odontoid fracture. If there is neurologic injury (paresthesia, weakness), then magnetic resonance imaging (MRI) without contrast of the cervical spine should be obtained to assess the cervical cord for injuries.

Which part of the odontoid process has a separate ossification center?

The rostral tip of the odontoid process has a separate ossification center during development from the remaining odontoid process. When the two ossification centers fail to fuse, there can be a persistent gap between the odontoid process and the tip of the odontoid process, which can mimic a type I odontoid fracture.

What does closed fracture mean?

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.

What does it mean when a fracture is open?

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).

What is the ICD code for a Jefferson fracture?

The ICD code S120 is used to code Jefferson fracture. A Jefferson fracture is a bone fracture of the anterior and posterior arches of the C1 vertebra, though it may also appear as a three- or two-part fracture.

What is the ICD code for acute care?

S12.0. 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 S12.0 is a non-billable code.

What causes a fracture in the neck?

The fracture may result from an axial load on the back of the head or hyperextension of the neck (e.g. caused by diving ), causing a posterior break, and may be accompanied by a break in other parts of the cervical spine. Specialty:

What is the ICd 10 code for dens fracture?

Type II dens fracture 1 S12.11 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 S12.11 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S12.11 - other international versions of ICD-10 S12.11 may differ.

When will the ICD-10-CM S12.11 be released?

The 2022 edition of ICD-10-CM S12.11 became effective on October 1, 2021.