Unspecified fracture of fourth cervical vertebra
ICD-10 S12.30 is a billable code used to indicate a diagnosis of unspecified fracture of fourth cervical vertebra.
The S12.30 code refers to an unspecified fracture of the fourth cervical vertebra (C4). This type of injury typically occurs due to trauma, such as motor vehicle accidents, falls, or sports injuries. The cervical vertebrae are critical for supporting the skull and protecting the spinal cord. An unspecified fracture indicates that the specific nature of the fracture (e.g., whether it is a simple, comminuted, or burst fracture) has not been documented. Clinical presentation may include neck pain, limited range of motion, and neurological deficits depending on the severity of the injury. Diagnostic imaging, such as X-rays or MRI, is essential for confirming the fracture and assessing any potential spinal cord involvement. Management may involve conservative treatment, such as immobilization with a cervical collar, or surgical intervention if there is significant instability or neurological compromise. Complications can include chronic pain, neurological deficits, or complications from surgical procedures.
Emergency department notes must include mechanism of injury, initial assessment findings, and imaging results.
Trauma from falls, vehicle accidents, or sports injuries leading to cervical spine evaluation.
Ensure that all neurological assessments are documented, as they are critical for determining the severity of the injury.
Operative reports should detail the surgical approach, findings, and any fixation devices used.
Surgical intervention for unstable fractures or decompression of the spinal cord.
Document any pre-existing conditions that may affect surgical outcomes.
Used when surgical intervention is required for decompression of the spinal cord.
Operative report must detail the procedure and indications.
Ensure that the surgical necessity is well documented to support the procedure.
S12.30 is used for unspecified fractures of the fourth cervical vertebra, while S12.31 is for specified fractures, which require more detailed documentation regarding the type of fracture.
