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ICD-10 Guide
ICD-10 CodesS12.330

S12.330

Billable

Unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra

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

Code Description

ICD-10 S12.330 is a billable code used to indicate a diagnosis of unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra.

Key Diagnostic Point:

S12.330 refers to a specific type of spinal injury characterized by the displacement of the fourth cervical vertebra (C4) due to trauma. Spondylolisthesis occurs when one vertebra slips forward over another, which can lead to spinal instability and potential neurological deficits. This condition is often the result of high-impact injuries such as motor vehicle accidents, falls, or sports-related trauma. The displacement can cause compression of the spinal cord or nerve roots, leading to symptoms such as neck pain, weakness, numbness, or tingling in the upper extremities. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the degree of displacement and any associated injuries. Management may include conservative treatment like physical therapy and pain management, or surgical intervention in cases of severe displacement or neurological compromise. Accurate coding is essential for proper treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

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 imaging documentation to support the diagnosis

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed 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 relevant imaging studies are documented and correlate with the clinical findings.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any corrective measures taken.

Common Clinical Scenarios

Patients requiring surgical intervention for severe spondylolisthesis with neurological involvement.

Billing Considerations

Document any pre-existing conditions that may affect surgical outcomes.

Coding Guidelines

Inclusion Criteria

Use S12.330 When
  • Follow the ICD
  • CM guidelines for coding injuries, ensuring that the specific site and type of injury are accurately captured
  • Documentation must support the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use S12.330 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63075CPT Code

Laminectomy, cervical, single segment

Clinical Scenario

Used when surgical intervention is required for decompression of the spinal cord due to spondylolisthesis.

Documentation Requirements

Operative report detailing the procedure and indications for surgery.

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 spinal injuries, improving the accuracy of diagnoses and treatment plans. S12.330 provides a clear distinction for traumatic spondylolisthesis, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spinal injuries, improving the accuracy of diagnoses and treatment plans. S12.330 provides a clear distinction for traumatic spondylolisthesis, which was less defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spinal injuries, improving the accuracy of diagnoses and treatment plans. S12.330 provides a clear distinction for traumatic spondylolisthesis, which was less defined in ICD-9.

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 difference between traumatic and non-traumatic spondylolisthesis?

Traumatic spondylolisthesis occurs due to an injury or trauma, while non-traumatic spondylolisthesis can result from degenerative changes or congenital factors.