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ICD-10 Guide
ICD-10 CodesS12.150

S12.150

Billable

Other traumatic displaced spondylolisthesis of second cervical vertebra

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

Code Description

ICD-10 S12.150 is a billable code used to indicate a diagnosis of other traumatic displaced spondylolisthesis of second cervical vertebra.

Key Diagnostic Point:

S12.150 refers to a specific type of spinal injury characterized by the displacement of the second cervical vertebra (C2) due to trauma. This condition can arise from various mechanisms of injury, including high-impact sports accidents, falls, or vehicular collisions. Displaced spondylolisthesis occurs when one vertebra slips forward over another, potentially leading to spinal instability and neurological deficits. Symptoms may include neck pain, restricted range of motion, and, in severe cases, neurological symptoms such as weakness or numbness in the arms or legs. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the degree of displacement and any associated injuries to the spinal cord or surrounding structures. Management may include conservative treatment such as immobilization and physical therapy, or surgical intervention to stabilize the spine and relieve pressure on neural structures. Complications can include chronic pain, persistent neurological deficits, or the need for further surgical procedures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of injury
  • Need for precise documentation of mechanism of injury
  • Differentiation from other cervical spine injuries
  • Potential for associated neurological complications

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the degree of displacement
  • Misclassification of the type of spondylolisthesis
  • Lack of supporting imaging documentation

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Timely documentation is crucial for accurate coding and management decisions.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any stabilization techniques used.

Common Clinical Scenarios

Patients requiring surgical intervention for spinal stabilization due to significant displacement.

Billing Considerations

Ensure that all surgical findings correlate with the diagnosis for accurate coding.

Coding Guidelines

Inclusion Criteria

Use S12.150 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical scenario and is supported by documentation
  • The mechanism of injury should be clearly documented, and any associated conditions should be coded appropriately

Exclusion Criteria

Do NOT use S12.150 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63075CPT Code

Laminectomy, cervical, for decompression of spinal cord

Clinical Scenario

Used when surgical intervention is required for decompression due to spondylolisthesis.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Ensure that the surgical procedure aligns with the diagnosis for accurate billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries such as spondylolisthesis, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries such as spondylolisthesis, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource allocation.

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 primary mechanism of injury for S12.150?

The primary mechanism of injury for S12.150 is typically high-energy trauma, such as from motor vehicle accidents, falls, or sports injuries, leading to the displacement of the second cervical vertebra.