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 CodesS12.59

S12.59

Billable

Other fracture of sixth cervical vertebra

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

Code Description

ICD-10 S12.59 is a billable code used to indicate a diagnosis of other fracture of sixth cervical vertebra.

Key Diagnostic Point:

The S12.59 code refers to fractures of the sixth cervical vertebra (C6) that do not fall into more specific categories. These fractures can occur due to various mechanisms, including trauma from falls, vehicular accidents, or sports injuries. The C6 vertebra is critical for neck mobility and stability, and fractures here can lead to significant complications, including spinal cord injury, nerve damage, and chronic pain. Clinical evaluation typically involves a thorough history and physical examination, followed by imaging studies such as X-rays, CT scans, or MRIs to assess the fracture's nature and extent. Management may include conservative treatment like immobilization with a cervical collar or surgical intervention in cases of instability or neurological compromise. Complications can include delayed healing, nonunion, or the development of post-traumatic cervical spondylosis. Accurate coding requires detailed documentation of the injury mechanism, treatment provided, and any associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of injury mechanism
  • Failure to specify fracture type or associated injuries
  • Incorrect linkage of diagnosis to treatment procedures
  • Misclassification of fracture severity

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and any imaging results.

Common Clinical Scenarios

Patients presenting with neck pain after a fall or motor vehicle accident, requiring immediate imaging and assessment.

Billing Considerations

Ensure that all relevant details about the injury and initial treatment are captured to support coding.

Surgery

Documentation Requirements

Operative reports must detail the surgical procedure performed, indications for surgery, and any intraoperative findings.

Common Clinical Scenarios

Surgical intervention for unstable fractures or those with neurological deficits.

Billing Considerations

Accurate coding requires clear documentation of the surgical approach and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use S12.59 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific nature of the fracture and any associated conditions
  • Documentation must support the diagnosis and treatment provided

Exclusion Criteria

Do NOT use S12.59 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63015CPT Code

Laminectomy, cervical, single segment

Clinical Scenario

Performed for decompression of the spinal cord due to C6 fracture.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Ensure that the surgical approach and any complications are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cervical fractures, improving the granularity of data for clinical and billing purposes. S12.59 provides a distinct code for fractures that do not fit into more specific categories, enhancing the accuracy of patient records.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical fractures, improving the granularity of data for clinical and billing purposes. S12.59 provides a distinct code for fractures that do not fit into more specific categories, enhancing the accuracy of patient records.

Reimbursement & Billing Impact

billing purposes. S12.59 provides a distinct code for fractures that do not fit into more specific categories, enhancing the accuracy of patient records.

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 coding S12.59 accurately?

Accurate coding of S12.59 is crucial for proper reimbursement, tracking of injury patterns, and ensuring appropriate patient management. It also aids in research and quality improvement initiatives.