Other fracture of fifth cervical vertebra
ICD-10 S12.49 is a billable code used to indicate a diagnosis of other fracture of fifth cervical vertebra.
The S12.49 code refers to fractures of the fifth cervical vertebra (C5) that do not fall into the more specific categories of fractures. These injuries can occur due to various mechanisms, including trauma from motor vehicle accidents, falls, sports injuries, or violent acts. The cervical vertebrae are critical for supporting the skull and protecting the spinal cord, and fractures in this area can lead to significant neurological deficits, including paralysis or loss of sensation. Clinical evaluation typically involves a thorough history and physical examination, followed by imaging studies such as X-rays, CT scans, or MRIs to confirm the fracture and assess for any associated spinal cord injury. Management may include conservative treatment with immobilization or surgical intervention, depending on the fracture's stability and the presence of neurological compromise. Complications can include chronic pain, instability, and neurological deficits, making accurate diagnosis and management crucial.
Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and imaging results.
Patients presenting with acute neck pain following trauma, requiring imaging to rule out fractures.
Ensure that all relevant imaging studies are documented and that any neurological assessments are clearly noted.
Operative reports must detail the surgical approach, findings, and any complications encountered during the procedure.
Surgical intervention for unstable fractures or those with neurological compromise.
Document the rationale for surgical intervention and any preoperative assessments performed.
Performed for decompression of the spinal cord due to fracture.
Operative report detailing the procedure and indications.
Ensure that the procedure is linked to the diagnosis of cervical fracture.
Accurate coding of S12.49 is crucial for proper reimbursement, tracking of injury patterns, and ensuring appropriate management of patients with cervical fractures. It also aids in research and quality improvement initiatives.
