ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS12.50

S12.50

Billable

Unspecified fracture of sixth cervical vertebra

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

Code Description

ICD-10 S12.50 is a billable code used to indicate a diagnosis of unspecified fracture of sixth cervical vertebra.

Key Diagnostic Point:

The S12.50 code refers to an unspecified fracture of the sixth cervical vertebra (C6), which is a critical area of the spine that can significantly impact neurological function and mobility. Fractures in this region often result from high-energy trauma such as motor vehicle accidents, falls from heights, or sports injuries. The C6 vertebra is particularly vulnerable due to its location and the mechanics of cervical spine injuries. Patients may present with symptoms ranging from neck pain and limited range of motion to neurological deficits, including weakness or numbness in the arms and hands. Diagnostic imaging, typically through X-rays or MRI, is essential for confirming the fracture and assessing any potential spinal cord involvement. Management may involve conservative treatment such as immobilization with a cervical collar or surgical intervention, depending on the severity and stability of the fracture. Complications can include chronic pain, neurological impairment, and the risk of further injury if not properly managed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of cervical fractures
  • Need for precise documentation of mechanism of injury
  • Potential for associated neurological injuries
  • Differentiation from other cervical spine injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture (e.g., stable vs. unstable)
  • Lack of imaging reports to support the diagnosis
  • Misclassification of the injury severity

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of the patient's presentation, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

Trauma cases involving falls, vehicular accidents, or sports injuries leading to cervical spine assessment.

Billing Considerations

Ensure that all neurological assessments are documented, as they are critical for coding and management.

Surgery

Documentation Requirements

Detailed operative notes, including indications for surgery, type of procedure performed, and post-operative care.

Common Clinical Scenarios

Surgical interventions for unstable cervical fractures requiring stabilization.

Billing Considerations

Accurate coding of surgical procedures related to the fracture is essential for reimbursement.

Coding Guidelines

Inclusion Criteria

Use S12.50 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific nature of the injury and any associated conditions
  • Documentation must support the diagnosis and any treatment provided

Exclusion Criteria

Do NOT use S12.50 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63015CPT Code

Laminectomy, cervical, single segment

Clinical Scenario

Used when surgical intervention is required for cervical spine stabilization.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Ensure that the surgical procedure is directly related to the fracture for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of diagnoses and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of diagnoses and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of diagnoses and treatment plans.

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 significance of specifying the fracture type?

Specifying the fracture type is crucial for determining the appropriate management and potential complications, as well as for accurate coding and reimbursement.