Nondisplaced lateral mass fracture of first cervical vertebra
ICD-10 S12.041 is a billable code used to indicate a diagnosis of nondisplaced lateral mass fracture of first cervical vertebra.
A nondisplaced lateral mass fracture of the first cervical vertebra (C1) typically occurs due to trauma, such as a fall or motor vehicle accident. The lateral masses of C1 are critical for supporting the skull and facilitating head movement. Unlike displaced fractures, nondisplaced fractures do not result in significant misalignment of the vertebrae, which can lead to less severe neurological complications. However, they can still cause pain, limited range of motion, and potential instability. Diagnosis is often confirmed through imaging studies, such as X-rays or CT scans, which can visualize the fracture and assess for any associated injuries. Management usually involves conservative treatment, including immobilization with a cervical collar and pain management, although surgical intervention may be necessary in cases of instability or associated injuries. Complications can include chronic pain, reduced mobility, and, in rare cases, neurological deficits if the spinal cord is compromised.
Complete documentation of the mechanism of injury, initial assessment findings, and imaging results.
Trauma patients presenting with neck pain after a fall or collision.
Ensure that all relevant imaging studies are documented and that the mechanism of injury is clearly described.
Detailed operative notes, including indications for surgery and findings during the procedure.
Patients requiring surgical stabilization due to instability or associated neurological deficits.
Document any intraoperative findings that may affect coding, such as additional injuries or complications.
Used when surgical intervention is required for instability or neurological deficits.
Operative report detailing the procedure and indications.
Ensure that the surgical approach and any complications are documented.
A nondisplaced fracture means that the bone has cracked but remains aligned, while a displaced fracture indicates that the bone fragments have moved out of their normal position.
