Short description: Fx lumbar vertebra-close. ICD-9-CM 805.4 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 805.4 should only be used for claims with a date of service on or before September 30, 2015.
Unspecified fracture of first lumbar vertebra, initial encounter for closed fracture. S32.019A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM S32.019A became effective on October 1, 2018.
Short description: Fracture NOS-closed. ICD-9-CM 829.0 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 829.0 should only be used for claims with a date of service on or before September 30, 2015.
Other intervertebral disc disorders, lumbosacral region 2016 2017 2018 2019 2020 2021 Billable/Specific Code M51.87 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM M51.87 became effective on October 1, 2020.
A retropulsed fragment is any vertebral fracture fragment that is displaced into the spinal canal, thereby potentially causing spinal cord injury. They usually arise from the vertebral body with or without a portion of the pedicle, and are displaced posteriorly, hence the prefix 'retro'.
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.
ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.
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.
Author. Meredith Defranco. September 5, 2013. Retropulsion in Parkinson's disease is the force that contributes to loss of balance in a backwards or posterior direction. Retropulsion occurs due to a worsening of postural stability and an associated loss of postural reflexes.
Retropulsion is measured by using a distance from the line between the posterior margin of the adjacent vertebral bodies (arrowhead) and the bony fragment (arrow).
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.
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.
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 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.
lumbar spinal columnThe L1 vertebra is the topmost section of the lumbar spinal column. This section of the spine contains a portion of the spinal cord.
If you have a fracture below the L1-L2 (first and second vertebrae in the lumbar spine), you won't have a spinal cord injury, but it's still possible to injure the nerves. Your back also has muscles, ligaments, tendons, and blood vessels. Muscles are strands of tissues that power your movement.