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ICD-10 Guide
ICD-10 CodesS12.591

S12.591

Billable

Other nondisplaced fracture of sixth cervical vertebra

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

Code Description

ICD-10 S12.591 is a billable code used to indicate a diagnosis of other nondisplaced fracture of sixth cervical vertebra.

Key Diagnostic Point:

The S12.591 code refers to a nondisplaced fracture of the sixth cervical vertebra (C6), which is a common injury resulting from trauma, such as falls, motor vehicle accidents, or sports injuries. Nondisplaced fractures are characterized by the bone being cracked but not displaced from its normal position, allowing for a potentially less complicated healing process. The cervical spine is crucial for supporting the head and protecting the spinal cord, and injuries in this area can lead to significant neurological consequences if not properly managed. Clinical evaluation typically includes a thorough history and physical examination, followed by imaging studies such as X-rays or MRI to confirm the diagnosis and assess for any associated injuries. Management may involve conservative treatment, including immobilization with a cervical collar, pain management, and physical therapy, or surgical intervention in cases of instability or neurological compromise. Complications can include chronic pain, limited range of motion, or, in severe cases, spinal cord injury. Accurate coding is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical significance of cervical vertebrae
  • Identifying associated injuries or complications
  • Documenting the mechanism of injury accurately

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture (nondisplaced vs. displaced)
  • Incorrect linkage of external cause codes
  • Omission of associated conditions or complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure that the documentation reflects the urgency of the injury and any immediate interventions performed.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any fixation devices used.

Common Clinical Scenarios

Surgical management of unstable fractures or those with neurological deficits.

Billing Considerations

Accurate coding of surgical procedures must align with the diagnosis and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use S12.591 When
  • Follow the ICD
  • CM coding guidelines for injuries, ensuring that the code reflects the specific type of fracture and its location
  • Document the external cause of the injury using appropriate external cause codes (e

Exclusion Criteria

Do NOT use S12.591 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Anterior cervical discectomy and fusion

Clinical Scenario

Used in cases where surgical intervention is necessary for stabilization.

Documentation Requirements

Operative report must detail the procedure and any complications.

Specialty Considerations

Ensure alignment with the diagnosis of nondisplaced fracture.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including the differentiation between displaced and nondisplaced fractures, which aids in better treatment planning and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the differentiation between displaced and nondisplaced fractures, which aids in better treatment planning and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 displaced and nondisplaced fracture?

A displaced fracture involves a break in the bone where the ends are not aligned, while a nondisplaced fracture means the bone cracks but remains in its normal position.