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ICD-10 Guide
ICD-10 CodesS12.350

S12.350

Billable

Other traumatic displaced spondylolisthesis of fourth cervical vertebra

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

Code Description

ICD-10 S12.350 is a billable code used to indicate a diagnosis of other traumatic displaced spondylolisthesis of fourth cervical vertebra.

Key Diagnostic Point:

Spondylolisthesis refers to the displacement of one vertebra over another, which can occur due to trauma, degeneration, or congenital factors. In the case of S12.350, the focus is on traumatic causes leading to a displaced spondylolisthesis specifically at the fourth cervical vertebra (C4). This condition often results from high-impact injuries such as motor vehicle accidents, falls from heights, or sports-related injuries. The mechanism of injury typically involves flexion-extension forces that disrupt the normal alignment of the cervical spine. Clinically, patients may present with neck pain, neurological deficits, or signs of spinal cord compression. Diagnosis is confirmed through imaging studies, including X-rays, CT scans, or MRI, which reveal the degree of displacement and any associated injuries to the spinal cord or surrounding structures. Management may involve conservative treatment such as immobilization and physical therapy, or surgical intervention in cases of significant displacement or neurological compromise. Complications can include chronic pain, persistent neurological deficits, or the need for further surgical procedures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific anatomical terminology
  • Differentiation from other types of spondylolisthesis
  • Need for precise documentation of trauma mechanism
  • Potential for associated injuries requiring additional coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the exact vertebra involved
  • 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 patient's presentation, mechanism of injury, and initial assessment findings.

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 linked to the diagnosis.

Surgery

Documentation Requirements

Comprehensive operative reports detailing the surgical approach, findings, and any complications.

Common Clinical Scenarios

Patients requiring surgical intervention for significant displacement or neurological symptoms.

Billing Considerations

Accurate coding of surgical procedures performed in conjunction with the diagnosis.

Coding Guidelines

Inclusion Criteria

Use S12.350 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific nature of the injury and the anatomical site
  • Documentation must support the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use S12.350 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Anterior cervical discectomy and fusion

Clinical Scenario

Used when surgical intervention is required for spondylolisthesis.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Ensure that the surgical approach is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like spondylolisthesis, 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 conditions like spondylolisthesis, 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 difference between traumatic and non-traumatic spondylolisthesis?

Traumatic spondylolisthesis occurs due to an external force or injury, while non-traumatic spondylolisthesis is often due to degenerative changes or congenital factors.