Fracture of fifth cervical vertebra
ICD-10 S12.4 is a billable code used to indicate a diagnosis of fracture of fifth cervical vertebra.
The fracture of the fifth cervical vertebra (C5) is a significant injury that can result from various mechanisms, including trauma from motor vehicle accidents, falls, or sports injuries. This type of fracture can lead to instability of the cervical spine and potential spinal cord injury, which may result in neurological deficits. Clinically, patients may present with neck pain, limited range of motion, and neurological symptoms such as weakness or numbness in the upper extremities. Diagnostic imaging, primarily through X-rays and MRI, is essential to confirm the fracture and assess for any associated spinal cord injury. Management typically involves immobilization, pain management, and in some cases, surgical intervention to stabilize the spine. Complications can include chronic pain, neurological impairment, and the risk of further injury if not properly managed. Accurate coding of this condition is crucial for appropriate treatment and reimbursement.
Documentation must include mechanism of injury, initial assessment findings, and any neurological evaluations performed.
Trauma patients presenting with neck pain after a fall or motor vehicle accident.
Ensure that all neurological deficits are documented to support coding for potential complications.
Operative reports must detail the surgical approach, findings, and any stabilization techniques used.
Patients undergoing anterior cervical discectomy and fusion (ACDF) for C5 fractures.
Document any pre-existing conditions that may affect surgical outcomes.
Used for surgical management of C5 fractures with instability.
Operative report detailing the procedure and any complications.
Ensure that the surgical approach and any graft materials used are documented.
Common causes include high-impact trauma such as motor vehicle accidents, falls from heights, and sports-related injuries.
Diagnosis typically involves a combination of clinical evaluation and imaging studies, including X-rays and MRI, to assess for fracture and any spinal cord involvement.
Complications can include chronic pain, neurological deficits, and instability of the cervical spine, which may require surgical intervention.
