Other displaced fracture of fourth cervical vertebra
ICD-10 S12.390 is a billable code used to indicate a diagnosis of other displaced fracture of fourth cervical vertebra.
A displaced fracture of the fourth cervical vertebra (C4) is a serious injury that can result from various mechanisms, including trauma from motor vehicle accidents, falls, or sports injuries. The cervical vertebrae are critical for supporting the skull and protecting the spinal cord. A displaced fracture indicates that the bone fragments have moved out of their normal alignment, which can lead to spinal cord injury, nerve damage, and significant neurological deficits. Clinical presentation may include neck pain, limited range of motion, and neurological symptoms such as weakness, numbness, or paralysis in the upper or lower extremities. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the fracture's extent and any associated spinal cord injury. Management may include conservative treatment with immobilization or surgical intervention to stabilize the spine and decompress the spinal cord if necessary. Complications can include chronic pain, neurological deficits, and the potential for further injury if not properly managed.
Documentation must include a thorough assessment of the patient's neurological status, mechanism of injury, and imaging results.
Patients presenting with acute neck pain following trauma, requiring immediate imaging and assessment.
Ensure that all relevant details about the injury mechanism and neurological findings are documented to support coding.
Operative reports must detail the surgical approach, findings, and any complications encountered during the procedure.
Surgical intervention for stabilization of the C4 vertebra following a traumatic injury.
Accurate coding requires clear documentation of the surgical procedure and any associated diagnoses.
Performed to relieve spinal cord compression due to a displaced C4 fracture.
Operative report detailing the procedure and indications for surgery.
Ensure alignment between the diagnosis of the fracture and the surgical procedure performed.
S12.390 refers to a displaced fracture of the fourth cervical vertebra, while S12.391 refers to a non-displaced fracture. Accurate documentation of the fracture type is essential for correct coding.
