Other displaced fracture of fifth cervical vertebra
ICD-10 S12.490 is a billable code used to indicate a diagnosis of other displaced fracture of fifth cervical vertebra.
The S12.490 code refers to a specific type of injury characterized by a displaced fracture of the fifth cervical vertebra (C5). This type of fracture typically occurs due to high-energy trauma, such as motor vehicle accidents, falls from significant heights, or sports injuries. The displacement of the fracture can lead to instability in the cervical spine, potentially resulting in neurological deficits if the spinal cord is compromised. Clinical presentation may include neck pain, limited range of motion, and neurological symptoms such as weakness or numbness in the upper extremities. Diagnosis is primarily made through imaging studies, including X-rays, CT scans, or MRI, which help assess the extent of the fracture and any associated spinal cord injury. Management often involves a multidisciplinary approach, including conservative treatment with immobilization or surgical intervention to stabilize the spine and decompress the spinal cord if necessary. Complications can include chronic pain, neurological impairment, and the risk of 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 evaluation for potential spinal cord injury.
Ensure that all relevant details of the injury mechanism and clinical findings are documented to support the coding.
Operative reports must detail the surgical approach, findings, and any stabilization techniques used.
Surgical intervention for stabilization of a displaced C5 fracture, often involving fusion or instrumentation.
Accurate coding requires clear documentation of the surgical procedure and any complications encountered.
Used in cases where surgical intervention is required for a displaced C5 fracture.
Operative report must detail the procedure and rationale.
Ensure that the surgical approach aligns with the diagnosis and that all necessary pre-operative assessments are documented.
Imaging studies such as X-rays, CT scans, or MRIs are essential to confirm the diagnosis of a displaced fracture and assess any potential spinal cord injury.
