Fracture of fourth cervical vertebra
ICD-10 S12.3 is a billable code used to indicate a diagnosis of fracture of fourth cervical vertebra.
The S12.3 code refers to a fracture of the fourth cervical vertebra (C4), which is a critical component of the cervical spine. This type of fracture can occur due to various mechanisms of injury, including high-impact trauma such as motor vehicle accidents, falls from heights, or sports injuries. The C4 vertebra is located in the neck region and plays a vital role in supporting the skull and protecting the spinal cord. Fractures at this level can lead to significant neurological deficits, including quadriplegia, depending on the severity and type of fracture. Clinical evaluation typically involves a thorough history and physical examination, followed by imaging studies such as X-rays, CT scans, or MRIs to assess the extent of the injury. Management may include conservative treatment with immobilization or surgical intervention, such as decompression and stabilization, depending on the fracture's characteristics and associated neurological compromise. Complications can include chronic pain, instability, and potential for further neurological impairment if not managed appropriately.
Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and any imaging results.
Trauma patients presenting after motor vehicle accidents or falls, requiring immediate evaluation and stabilization.
Ensure that all neurological assessments are documented, as they are critical for determining the severity of the injury.
Operative reports must detail the surgical approach, findings, and any hardware used for stabilization.
Patients undergoing surgical intervention for C4 fractures, including decompression and fusion procedures.
Document any pre-existing conditions that may affect surgical outcomes or recovery.
Used in cases where surgical intervention is necessary for C4 fractures with neurological compromise.
Operative report detailing the procedure, indications, and any complications.
Ensure that the surgical approach aligns with the diagnosis for accurate billing.
Accurate coding of S12.3 is crucial for appropriate reimbursement, tracking of injury patterns, and ensuring that patients receive the correct level of care based on the severity of their injuries.
