Surgery. A burst fracture is considered unstable if neurologic injury is present, angulation of the spine is greater than 20 degrees, there is subluxation or dislocation of the spine, or there is greater than 50 percent spinal canal compromise. Unstable burst fractures usually do better with early surgery.
ICD-10 Code for Wedge compression fracture of T5-T6 vertebra, initial encounter for closed fracture- S22. 050A- Codify by AAPC.
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.
Spine Disorders A burst fracture is an injury in which the vertebra, the primary bone of the spine, breaks in multiple directions. The bones of the spine have two main sections. The vertebral arch is a ring-shaped section that forms the roof of the spinal canal and protects the spinal cord.
000A for Wedge compression fracture of unspecified thoracic 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 .
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.
Stable fractures can usually be treated with bracing and rest. Unstable fractures usually require surgery to realign the bones and prevent spinal cord or nerve injury. Fractures can occur anywhere along the spine.
Stable and Unstable Fractures Generally, a fracture is considered stable if only the anterior column is involved, as in the case of most wedge fractures. When the anterior and middle columns are involved, the fracture may be considered more unstable.
An unstable fracture is when the break creates many small pieces of bone or when pieces of bone have moved out of place. A closed fracture means the skin is not pierced by the break. An open wrist fracture is when a piece of the bone comes through the skin.
A burst fracture is a spinal injury where the vertebra breaks due to immediate and severe compression. Immediate trauma such as a car accident or a severe fall are the leading causes for burst fractures with pieces of the vertebra shattering into surrounding tissues and sometimes the spinal canal.
Differential Diagnosis Burst fracture: Axial loading forces result in vertebral body fracture with a vertical fracture through the posterior elements. In Chance fracture, the fracture of the posterior elements is horizontal in orientation.
The diagnosis of a burst fracture is usually made by x-rays and a CAT scan. Occasionally, an MRI scan may be ordered as well, in order to assess the amount of soft tissue trauma, bleeding or ligament disruption.
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.
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.
ICD-10-CM Code for Pain in thoracic spine M54. 6.
ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.