The cervical spine encompasses seven vertebrae and serves as a protection to the spinal cord.[1][2][3] The segment of the spine most susceptible to injury is the cervical spine based on its anatomy and flexibility. Cervical spine injuries, although uncommon, can result in significant and long-term disability.
Most clavicle shaft fractures or broken collarbones do not require surgery. Fractures with “significant” displacement or shortening (think 2cm) might benefit from surgery. Most athletes with a clavicle shaft fracture or a broken collarbone will return to sports within a few months – with or without surgery.
These changes can include:
ICD-10 Code for Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for closed fracture- S12. 101A- Codify by AAPC.
Fracture of neck, unspecified, initial encounter S12. 9XXA 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 S12. 9XXA became effective on October 1, 2021.
A fracture, or break, in one of the cervical vertebrae is commonly called a broken neck. Cervical fractures usually result from high-energy trauma, such as automobile crashes or falls.
Categories grouped by injury in ICD-9-CM such as fractures (800–829), dislocations (830–839), and sprains and strains (840–848) are grouped in ICD-10-CM by site, such as injuries to the head (S00–S09), injuries to the neck (S10–S19), and injuries to the thorax (S20–S29).
What is the ICD-10 Code for Spinal Cord Injury? The ICD-10 Code for spinal cord injury is S14. 109A.
ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.
Odontoid peg fractures are common cervical fractures, most common in older patients. Patients can present following low-impact injuries, neck pain being common.
The cervical spine is susceptible to injury because it is highly mobile with relatively small vertebral bodies and supports the head which is both heavy and acts as a lever. C2 (~30%) and C7 (~20%) are the most commonly fractured levels 7.
Compression fractures result in loss of anterior vertebral body height without canal compromise and neural injury. Burst fractures are a variant of compression fractures that result in retropulsion of the vertebral body into the cervical canal.
Unspecified fracture of shaft of right radius, initial encounter for closed fracture. S52. 301A 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 S52.
The general consensus is to use the fracture care codes designated as “closed treatment without manipulation” and bill the initial E/M with modifier 57.
For the debridement of an open fracture includes only skin and subcutaneous tissue, use code 11010; debridement down to the muscle fascia and muscle, code 11011; and debridement that includes skin, muscle fascia, muscle, and bone, code 11012.