Icd 10 code for compression fracture of the spine

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Icd 10 code for compression fracture of the spine

Want to receive articles like this one in your inbox? Subscribe to JustCoding News: Outpatient! QUESTION: How will coding for traumatic spinal injuries change in ICD-10-CM? ANSWER: Traumatic injuries to the spine include traumatic fractures (ICD-9-CM codes 805?806), herniated discs (ICD-9-CM code 722.x), and whiplash (ICD-9-CM code 847.0). When coding for a traumatic fracture in ICD-9-CM, coders must know: Which bone was fractured Whether the fracture was open or closed Which specific segment of the bone was fractured How the patient was injured The location at which the injury took place Whether the spinal cord was injured In ICD-9-CM, the codes for traumatic fractures of the spine are divided into two series: without mention of spinal cord injury (805) and with spinal cord injury (806). All of the codes in the 806 series require a fifth digit for added specificity. Codes 805.0 (cervical, closed) and 805.1 (cervical, open) also require a fifth digit subclassification to identify the specific cervical vertebra involved. For fractures of the cervical vertebrae using ICD-10-CM, coders don't need to add an additional character to specify the cervical vertebra involved. That's because this information is included in the code description. For a nondisplaced posterior arch fracture of first cervical vertebra, coders should report ICD-10-CM S12.031 with a seventh character to indicate encounter. For a displaced lateral mass fracture of first cervical vertebra, coders would assign S12.040, again with the appropriate seventh character. If a patient suffers a posterior displaced Type II dens fracture of the second cervical vertebra, report code S12.111 with a seventh character. Traumatic fractures of lumbar vertebrae are included in ICD-10-CM code category S32.0-. For these types of fractures, physicians must document the specific type of fracture, such as a wedge compression fracture, stable burst fracture, unstable burst fracture, or other fracture. Codes in category S32.0 also cover fractures of the neural arch, spinous process, transverse process, vertebra, and vertebral arch. Coders should also code first any associated spinal cord and spinal nerve injury (S34-), according to the note. For all codes in this subsection, coders must add a seventh character to specify the encounter. For example, add an "A" as the seventh character to denote an initial encounter. Without the seventh character, the code is invalid. Editor's note: Shelley C. Safian, PhD, MAOM/HSM, CCS-P, CPC-H, CHA, of Safian Communications Services in Orlando, Fla., answered this question. She is a senior assistant professor who teaches medical billing and insurance coding at Herzing University Online in Milwaukee, Wis. Email her at ssafian@. This answer was provided based on limited information submitted to JustCoding. Be sure to review all documentation specific to your own individual scenario before determining appropriate code assignment. Need expert coding advice? Submit your question to Senior Managing Editor Michelle Leppert, CPC, at mleppert@, and we'll do our best to get an answer for you. Want to receive articles like this one in your inbox? Subscribe to JustCoding News: Outpatient! What is the ICD 10 code for t4 compression fracture? What is a compression fracture of the spine? What is ICD 10 for osteoporosis? What is a pars fracture of the lumbar spine? What is a wedge fracture? What is vertebroplasty surgery? What is a kyphoplasty procedure? What is the ICD 10 code for dementia? What should I avoid with a compression fracture? Can a compression fracture get worse? Is walking good for a compression fracture? What is a wedge fracture in the back? Do wedge compression fractures heal? Applicable ToFracture of lumbar spine NOS Clinical Information A fracture of one of the lumbar vertebra. S32.0 Fracture of lumbar vertebra S32.00 Fracture of unspecified lumbar vertebra S32.000 Wedge compression fracture of unspecified lumbar vertebra S32.000A ...... initial encounter for closed fracture S32.000B ...... initial encounter for open fracture S32.000D ...... subsequent encounter for fracture with routine healing S32.000G ...... subsequent encounter for fracture with delayed healing S32.000K ...... subsequent encounter for fracture with nonunion S32.000S ...... sequela S32.001 Stable burst fracture of unspecified lumbar vertebra S32.001A ...... initial encounter for closed fracture S32.001B ...... initial encounter for open fracture S32.001D ...... subsequent encounter for fracture with routine healing S32.001G ...... subsequent encounter for fracture with delayed healing S32.001K ...... subsequent encounter for fracture with nonunion S32.001S ...... sequela S32.002 Unstable burst fracture of unspecified lumbar vertebra S32.002A ...... initial encounter for closed fracture S32.002B ...... initial encounter for open fracture S32.002D ...... subsequent encounter for fracture with routine healing S32.002G ...... subsequent encounter for fracture with delayed healing S32.002K ...... subsequent encounter for fracture with nonunion S32.002S ...... sequela S32.008 Other fracture of unspecified lumbar vertebra S32.008A ...... initial encounter for closed fracture S32.008B ...... initial encounter for open fracture S32.008D ...... subsequent encounter for fracture with routine healing S32.008G ...... subsequent encounter for fracture with delayed healing S32.008K ...... subsequent encounter for fracture with nonunion S32.008S ...... sequela S32.009 Unspecified fracture of unspecified lumbar vertebra S32.009A ...... initial encounter for closed fracture S32.009B ...... initial encounter for open fracture S32.009D ...... subsequent encounter for fracture with routine healing S32.009G ...... subsequent encounter for fracture with delayed healing S32.009K ...... subsequent encounter for fracture with nonunion S32.009S ...... sequela S32.01 Fracture of first lumbar vertebra S32.010 Wedge compression fracture of first lumbar vertebra S32.010A ...... initial encounter for closed fracture S32.010B ...... initial encounter for open fracture S32.010D ...... subsequent encounter for fracture with routine healing S32.010G ...... subsequent encounter for fracture with delayed healing S32.010K ...... subsequent encounter for fracture with nonunion S32.010S ...... sequela S32.011 Stable burst fracture of first lumbar vertebra S32.011A ...... initial encounter for closed fracture S32.011B ...... initial encounter for open fracture S32.011D ...... subsequent encounter for fracture with routine healing S32.011G ...... subsequent encounter for fracture with delayed healing S32.011K ...... subsequent encounter for fracture with nonunion S32.011S ...... sequela S32.012 Unstable burst fracture of first lumbar vertebra S32.012A ...... initial encounter for closed fracture S32.012B ...... initial encounter for open fracture S32.012D ...... subsequent encounter for fracture with routine healing S32.012G ...... subsequent encounter for fracture with delayed healing S32.012K ...... subsequent encounter for fracture with nonunion S32.012S ...... sequela S32.018 Other fracture of first lumbar vertebra S32.018A ...... initial encounter for closed fracture S32.018B ...... initial encounter for open fracture S32.018D ...... subsequent encounter for fracture with routine healing S32.018G ...... subsequent encounter for fracture with delayed healing S32.018K ...... subsequent encounter for fracture with nonunion S32.018S ...... sequela S32.019 Unspecified fracture of first lumbar vertebra S32.019A ...... initial encounter for closed fracture S32.019B ...... initial encounter for open fracture S32.019D ...... subsequent encounter for fracture with routine healing S32.019G ...... subsequent encounter for fracture with delayed healing S32.019K ...... subsequent encounter for fracture with nonunion S32.019S ...... sequela S32.02 Fracture of second lumbar vertebra S32.020 Wedge compression fracture of second lumbar vertebra S32.020A ...... initial encounter for closed fracture S32.020B ...... initial encounter for open fracture S32.020D ...... subsequent encounter for fracture with routine healing S32.020G ...... subsequent encounter for fracture with delayed healing S32.020K ...... subsequent encounter for fracture with nonunion S32.020S ...... sequela S32.021 Stable burst fracture of second lumbar vertebra S32.021A ...... initial encounter for closed fracture S32.021B ...... initial encounter for open fracture S32.021D ...... subsequent encounter for fracture with routine healing S32.021G ...... subsequent encounter for fracture with delayed healing S32.021K ...... subsequent encounter for fracture with nonunion S32.021S ...... sequela S32.022 Unstable burst fracture of second lumbar vertebra S32.022A ...... initial encounter for closed fracture S32.022B ...... initial encounter for open fracture S32.022D ...... subsequent encounter for fracture with routine healing S32.022G ...... subsequent encounter for fracture with delayed healing S32.022K ...... subsequent encounter for fracture with nonunion S32.022S ...... sequela S32.028 Other fracture of second lumbar vertebra S32.028A ...... initial encounter for closed fracture S32.028B ...... initial encounter for open fracture S32.028D ...... subsequent encounter for fracture with routine healing S32.028G ...... subsequent encounter for fracture with delayed healing S32.028K ...... subsequent encounter for fracture with nonunion S32.028S ...... sequela S32.029 Unspecified fracture of second lumbar vertebra S32.029A ...... initial encounter for closed fracture S32.029B ...... initial encounter for open fracture S32.029D ...... subsequent encounter for fracture with routine healing S32.029G ...... subsequent encounter for fracture with delayed healing S32.029K ...... subsequent encounter for fracture with nonunion S32.029S ...... sequela S32.03 Fracture of third lumbar vertebra S32.030 Wedge compression fracture of third lumbar vertebra S32.030A ...... initial encounter for closed fracture S32.030B ...... initial encounter for open fracture S32.030D ...... subsequent encounter for fracture with routine healing S32.030G ...... subsequent encounter for fracture with delayed healing S32.030K ...... subsequent encounter for fracture with nonunion S32.030S ...... sequela S32.031 Stable burst fracture of third lumbar vertebra S32.031A ...... initial encounter for closed fracture S32.031B ...... initial encounter for open fracture S32.031D ...... subsequent encounter for fracture with routine healing S32.031G ...... subsequent encounter for fracture with delayed healing S32.031K ...... subsequent encounter for fracture with nonunion S32.031S ...... sequela S32.032 Unstable burst fracture of third lumbar vertebra S32.032A ...... initial encounter for closed fracture S32.032B ...... initial encounter for open fracture S32.032D ...... subsequent encounter for fracture with routine healing S32.032G ...... subsequent encounter for fracture with delayed healing S32.032K ...... subsequent encounter for fracture with nonunion S32.032S ...... sequela S32.038 Other fracture of third lumbar vertebra S32.038A ...... initial encounter for closed fracture S32.038B ...... initial encounter for open fracture S32.038D ...... subsequent encounter for fracture with routine healing S32.038G ...... subsequent encounter for fracture with delayed healing S32.038K ...... subsequent encounter for fracture with nonunion S32.038S ...... sequela S32.039 Unspecified fracture of third lumbar vertebra S32.039A ...... initial encounter for closed fracture S32.039B ...... initial encounter for open fracture S32.039D ...... subsequent encounter for fracture with routine healing S32.039G ...... subsequent encounter for fracture with delayed healing S32.039K ...... subsequent encounter for fracture with nonunion S32.039S ...... sequela S32.04 Fracture of fourth lumbar vertebra S32.040 Wedge compression fracture of fourth lumbar vertebra S32.040A ...... initial encounter for closed fracture S32.040B ...... initial encounter for open fracture S32.040D ...... subsequent encounter for fracture with routine healing S32.040G ...... subsequent encounter for fracture with delayed healing S32.040K ...... subsequent encounter for fracture with nonunion S32.040S ...... sequela S32.041 Stable burst fracture of fourth lumbar vertebra S32.041A ...... initial encounter for closed fracture S32.041B ...... initial encounter for open fracture S32.041D ...... subsequent encounter for fracture with routine healing S32.041G ...... subsequent encounter for fracture with delayed healing S32.041K ...... subsequent encounter for fracture with nonunion S32.041S ...... sequela S32.042 Unstable burst fracture of fourth lumbar vertebra S32.042A ...... initial encounter for closed fracture S32.042B ...... initial encounter for open fracture S32.042D ...... subsequent encounter for fracture with routine healing S32.042G ...... subsequent encounter for fracture with delayed healing S32.042K ...... subsequent encounter for fracture with nonunion S32.042S ...... sequela S32.048 Other fracture of fourth lumbar vertebra S32.048A ...... initial encounter for closed fracture S32.048B ...... initial encounter for open fracture S32.048D ...... subsequent encounter for fracture with routine healing S32.048G ...... subsequent encounter for fracture with delayed healing S32.048K ...... subsequent encounter for fracture with nonunion S32.048S ...... sequela S32.049 Unspecified fracture of fourth lumbar vertebra S32.049A ...... initial encounter for closed fracture S32.049B ...... initial encounter for open fracture S32.049D ...... subsequent encounter for fracture with routine healing S32.049G ...... subsequent encounter for fracture with delayed healing S32.049K ...... subsequent encounter for fracture with nonunion S32.049S ...... sequela S32.05 Fracture of fifth lumbar vertebra S32.050 Wedge compression fracture of fifth lumbar vertebra S32.050A ...... initial encounter for closed fracture S32.050B ...... initial encounter for open fracture S32.050D ...... subsequent encounter for fracture with routine healing S32.050G ...... subsequent encounter for fracture with delayed healing S32.050K ...... subsequent encounter for fracture with nonunion S32.050S ...... sequela S32.051 Stable burst fracture of fifth lumbar vertebra S32.051A ...... initial encounter for closed fracture S32.051B ...... initial encounter for open fracture S32.051D ...... subsequent encounter for fracture with routine healing S32.051G ...... subsequent encounter for fracture with delayed healing S32.051K ...... subsequent encounter for fracture with nonunion S32.051S ...... sequela S32.052 Unstable burst fracture of fifth lumbar vertebra S32.052A ...... initial encounter for closed fracture S32.052B ...... initial encounter for open fracture S32.052D ...... subsequent encounter for fracture with routine healing S32.052G ...... subsequent encounter for fracture with delayed healing S32.052K ...... subsequent encounter for fracture with nonunion S32.052S ...... sequela S32.058 Other fracture of fifth lumbar vertebra S32.058A ...... initial encounter for closed fracture S32.058B ...... initial encounter for open fracture S32.058D ...... subsequent encounter for fracture with routine healing S32.058G ...... subsequent encounter for fracture with delayed healing S32.058K ...... subsequent encounter for fracture with nonunion S32.058S ...... sequela S32.059 Unspecified fracture of fifth lumbar vertebra S32.059A ...... initial encounter for closed fracture S32.059B ...... initial encounter for open fracture S32.059D ...... subsequent encounter for fracture with routine healing S32.059G ...... subsequent encounter for fracture with delayed healing S32.059K ...... subsequent encounter for fracture with nonunion S32.059S ...... sequela

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