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ICD-10 Guide
ICD-10 CodesS12.200

S12.200

Billable

Unspecified displaced fracture of third cervical vertebra

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

Code Description

ICD-10 S12.200 is a billable code used to indicate a diagnosis of unspecified displaced fracture of third cervical vertebra.

Key Diagnostic Point:

The S12.200 code refers to an unspecified displaced fracture of the third cervical vertebra (C3). This type of injury typically occurs due to high-energy trauma, such as motor vehicle accidents, falls from significant heights, or sports-related injuries. The cervical spine is crucial for supporting the head and protecting the spinal cord, and fractures in this area can lead to serious neurological deficits. Displacement indicates that the fracture fragments have moved from their normal anatomical position, which can further complicate the injury and increase the risk of spinal cord injury. Clinical evaluation often includes imaging studies such as X-rays, CT scans, or MRIs to assess the extent of the fracture and any associated spinal cord injury. Management may involve conservative treatment, such as immobilization with a cervical collar, or surgical intervention to stabilize the spine and decompress the spinal cord if necessary. Complications can include chronic pain, neurological deficits, and instability of the cervical spine, making prompt and accurate diagnosis and treatment essential.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture presentation and severity
  • Need for precise imaging interpretation
  • Potential for associated neurological injuries
  • Differentiation from other cervical spine injuries

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to specify the mechanism of injury
  • Misinterpretation of imaging results
  • Inconsistent coding of associated neurological deficits

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of the mechanism of injury, initial assessment findings, and imaging results.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all imaging studies are clearly documented and correlate with the diagnosis.

Surgery

Documentation Requirements

Detailed operative reports, including indications for surgery, surgical technique, and postoperative care.

Common Clinical Scenarios

Patients requiring surgical stabilization of the cervical spine due to fracture displacement.

Billing Considerations

Document any intraoperative findings that may affect coding, such as additional injuries or complications.

Coding Guidelines

Inclusion Criteria

Use S12.200 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific nature of the fracture and any associated conditions
  • Documentation must support the diagnosis and any treatment provided

Exclusion Criteria

Do NOT use S12.200 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63015CPT Code

Laminectomy, cervical, single segment

Clinical Scenario

Used when surgical intervention is required for a displaced fracture.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Ensure that the surgical approach and any complications are documented.

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 data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 significance of specifying the displacement in cervical fractures?

Specifying displacement is crucial as it impacts treatment decisions, potential complications, and the overall prognosis for the patient. Displaced fractures often require more aggressive management compared to non-displaced fractures.