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ICD-10 Guide
ICD-10 CodesS12.501

S12.501

Billable

Unspecified nondisplaced fracture of sixth cervical vertebra

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

Code Description

ICD-10 S12.501 is a billable code used to indicate a diagnosis of unspecified nondisplaced fracture of sixth cervical vertebra.

Key Diagnostic Point:

The S12.501 code refers to an unspecified nondisplaced fracture of the sixth cervical vertebra (C6). This type of injury typically occurs due to trauma, such as falls, motor vehicle accidents, or sports injuries. A nondisplaced fracture means that the bone has cracked but remains in its normal position, which can often lead to less severe symptoms compared to displaced fractures. Clinical presentation may include neck pain, limited range of motion, and potential neurological symptoms depending on the extent of spinal cord involvement. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI, which help visualize the fracture and assess any associated soft tissue injuries. Management often involves conservative treatment, including immobilization with a cervical collar, pain management, and physical therapy. In some cases, surgical intervention may be necessary if there is significant instability or neurological compromise. Complications can include chronic pain, stiffness, or, in severe cases, neurological deficits if the spinal cord is affected.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture (nondisplaced vs. displaced)
  • Lack of imaging documentation to support the diagnosis
  • Misclassification of the fracture type

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a thorough assessment of the patient's injury, mechanism of injury, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with neck pain after a fall or motor vehicle accident.

Billing Considerations

Ensure that all imaging results are documented and correlate with the clinical findings.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any fixation devices used if surgery is performed.

Common Clinical Scenarios

Surgical management of unstable cervical fractures or decompression of the spinal cord.

Billing Considerations

Document any pre-existing conditions that may affect surgical outcomes.

Coding Guidelines

Inclusion Criteria

Use S12.501 When
  • Follow the ICD
  • CM coding guidelines for fractures, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Use additional codes to capture any complications or related conditions

Exclusion Criteria

Do NOT use S12.501 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Anterior cervical discectomy and fusion

Clinical Scenario

Used when surgical intervention is required for stabilization.

Documentation Requirements

Operative report must detail the procedure and any complications.

Specialty Considerations

Ensure that the diagnosis code supports the need for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the ability to capture the nuances of injuries like nondisplaced fractures of the cervical vertebrae. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the ability to capture the nuances of injuries like nondisplaced fractures of the cervical vertebrae. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the ability to capture the nuances of injuries like nondisplaced fractures of the cervical vertebrae. This specificity aids in better patient management and resource allocation.

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 difference between a nondisplaced and displaced fracture?

A nondisplaced fracture means the bone has cracked but remains in its normal position, while a displaced fracture involves the bone fragments moving out of alignment, which may require surgical intervention.