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ICD-10 Guide
ICD-10 CodesS12.29

S12.29

Billable

Other fracture of third cervical vertebra

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

Code Description

ICD-10 S12.29 is a billable code used to indicate a diagnosis of other fracture of third cervical vertebra.

Key Diagnostic Point:

The S12.29 code is used to classify fractures of the third cervical vertebra (C3) that do not fall into more specific categories. Fractures of the cervical spine can occur due to various mechanisms, including trauma from motor vehicle accidents, falls, sports injuries, or violence. The C3 vertebra is critical for the structural integrity of the cervical spine and plays a role in protecting the spinal cord. Injuries to this area can lead to significant neurological deficits, depending on the severity and type of fracture. Common symptoms include neck pain, limited range of motion, and potential neurological signs such as weakness or numbness in the upper extremities. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the fracture's nature and any associated spinal cord injury. Management may range from conservative treatment, including immobilization and pain management, to surgical intervention for stabilization or decompression if there is spinal cord involvement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and associated injuries
  • Need for precise documentation of mechanism of injury
  • Potential for neurological involvement requiring detailed assessment
  • Differentiation from other cervical vertebra fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture
  • Misclassification of fracture severity
  • Lack of clarity regarding neurological assessment

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of initial assessment, imaging results, and treatment plan.

Common Clinical Scenarios

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

Billing Considerations

Ensure documentation reflects the mechanism of injury and any neurological deficits.

Surgery

Documentation Requirements

Detailed operative reports, including indications for surgery and post-operative care.

Common Clinical Scenarios

Surgical intervention for stabilization of C3 fractures with or without spinal cord injury.

Billing Considerations

Document any intraoperative findings and post-operative complications.

Coding Guidelines

Inclusion Criteria

Use S12.29 When
  • Follow ICD
  • CM guidelines for coding fractures, ensuring specificity regarding the type of fracture and any associated complications

Exclusion Criteria

Do NOT use S12.29 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Anterior cervical discectomy and fusion

Clinical Scenario

Used in cases where surgical intervention is required for C3 fractures.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Ensure that the surgical approach and any complications are well 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 fractures, improving data accuracy and enhancing the ability to track outcomes and complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical spine fractures, improving data accuracy and enhancing the ability to track outcomes and complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cervical spine fractures, improving data accuracy and enhancing the ability to track outcomes and complications.

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 coding S12.29 accurately?

Accurate coding of S12.29 is crucial for proper reimbursement, tracking of injury outcomes, and ensuring appropriate treatment protocols are followed. It also aids in research and quality improvement initiatives related to cervical spine injuries.