ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS12.091

S12.091

Billable

Other nondisplaced fracture of first cervical vertebra

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S12.091 is a billable code used to indicate a diagnosis of other nondisplaced fracture of first cervical vertebra.

Key Diagnostic Point:

The S12.091 code refers to a nondisplaced fracture of the first cervical vertebra (C1), also known as the atlas. This type of fracture typically occurs due to trauma, such as a fall or motor vehicle accident, where the head is subjected to sudden acceleration or deceleration forces. Unlike displaced fractures, nondisplaced fractures maintain the alignment of the vertebrae, which can lead to less severe clinical manifestations. Symptoms may include neck pain, limited range of motion, and neurological deficits if there is associated spinal cord injury. Diagnosis is confirmed through imaging studies, primarily X-rays or CT scans, which reveal the fracture without displacement. Management often involves conservative treatment, including immobilization with a cervical collar, pain management, and physical therapy. In some cases, surgical intervention may be necessary if there is a risk of instability or neurological compromise. Complications can include chronic pain, stiffness, or, in severe cases, neurological impairment if not properly managed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical implications of cervical vertebrae injuries
  • Variability in clinical presentation and imaging findings
  • Potential for associated neurological injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture (nondisplaced vs. displaced)
  • Misinterpretation of imaging results leading to incorrect coding
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and imaging results.

Common Clinical Scenarios

Patients presenting with neck pain after a fall or motor vehicle accident.

Billing Considerations

Ensure that all relevant imaging studies are documented and that any neurological assessments are clearly noted.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any complications encountered during the procedure.

Common Clinical Scenarios

Surgical intervention for stabilization of the cervical spine following a nondisplaced fracture.

Billing Considerations

Document any pre-existing conditions that may affect surgical outcomes and recovery.

Coding Guidelines

Inclusion Criteria

Use S12.091 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical scenario, including the type of fracture and any associated injuries

Exclusion Criteria

Do NOT use S12.091 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Anterior cervical discectomy and fusion

Clinical Scenario

Used when surgical intervention is required for stabilization of the cervical spine.

Documentation Requirements

Operative report must detail the procedure performed and any complications.

Specialty Considerations

Ensure that the diagnosis code aligns with the surgical procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of diagnosis and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of diagnosis and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of diagnosis and treatment tracking.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a displaced and nondisplaced fracture?

A displaced fracture involves a break in the bone where the ends are not aligned, while a nondisplaced fracture maintains the alignment of the bone despite the fracture.