Unspecified traumatic spondylolisthesis of second cervical vertebra
ICD-10 S12.13 is a billable code used to indicate a diagnosis of unspecified traumatic spondylolisthesis of second cervical vertebra.
Unspecified traumatic spondylolisthesis of the second cervical vertebra (C2) refers to a condition where there is a displacement of the second cervical vertebra due to trauma. This injury can occur from various mechanisms, including high-impact sports, motor vehicle accidents, falls, or direct blows to the neck. The spondylolisthesis may lead to spinal instability, nerve compression, and potential neurological deficits. Clinical presentation often includes neck pain, restricted range of motion, and possibly neurological symptoms such as weakness or numbness in the upper extremities. Diagnosis typically involves imaging studies, including X-rays, CT scans, or MRIs, to assess vertebral alignment and any associated injuries. Management may range from conservative treatment, such as physical therapy and immobilization, to surgical intervention in cases of significant instability or neurological compromise. Complications can include chronic pain, persistent neurological deficits, and the potential for further spinal degeneration.
Detailed documentation of the mechanism of injury, initial assessment findings, and any immediate interventions performed.
Trauma cases presenting with neck pain after a fall or motor vehicle accident.
Ensure that all relevant imaging results and neurological assessments are documented to support the diagnosis.
Comprehensive operative reports detailing the surgical approach, findings, and any complications encountered during the procedure.
Surgical management of cervical spondylolisthesis due to trauma requiring stabilization.
Document any pre-existing conditions that may affect surgical outcomes and coding.
Used in cases where surgical intervention is necessary due to neurological compromise from spondylolisthesis.
Operative report detailing the procedure and indications for surgery.
Ensure that the surgical necessity is well-documented to support the procedure.
Traumatic spondylolisthesis occurs due to an external force or injury, while non-traumatic spondylolisthesis is often due to degenerative changes or congenital factors.
