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ICD-10 Guide
ICD-10 CodesS12.600

S12.600

Billable

Unspecified displaced fracture of seventh cervical vertebra

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

Code Description

ICD-10 S12.600 is a billable code used to indicate a diagnosis of unspecified displaced fracture of seventh cervical vertebra.

Key Diagnostic Point:

The S12.600 code refers to an unspecified displaced fracture of the seventh cervical vertebra (C7), which is located at the base of the neck and plays a crucial role in supporting the skull and facilitating neck movement. Displaced fractures occur when the bone fragments are misaligned, potentially compromising the spinal canal and leading to neurological deficits. Common mechanisms of injury include high-impact trauma such as motor vehicle accidents, falls from heights, or sports-related injuries. Clinical presentation may include neck pain, limited range of motion, and neurological symptoms such as numbness or weakness in the arms or hands. Diagnosis typically involves imaging studies, including X-rays, CT scans, or MRIs, to assess the fracture's extent and any associated spinal cord injury. Management may range from conservative treatment, such as immobilization with a cervical collar, to surgical intervention for stabilization and decompression of the spinal cord if necessary. Complications can include chronic pain, neurological deficits, and instability of the cervical spine.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of fracture type and displacement
  • Need for precise imaging interpretation
  • Potential for associated neurological injuries
  • Differentiation from other cervical spine injuries

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to document associated neurological symptoms
  • Misinterpretation of imaging results
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include mechanism of injury, initial assessment findings, and imaging results.

Common Clinical Scenarios

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

Billing Considerations

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

Surgery

Documentation Requirements

Operative reports must detail the surgical procedure, findings, and post-operative care.

Common Clinical Scenarios

Patients undergoing surgical stabilization of a cervical fracture.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S12.600 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 any treatments provided

Exclusion Criteria

Do NOT use S12.600 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 a displaced fracture.

Documentation Requirements

Operative report must detail the procedure and indications.

Specialty Considerations

Orthopedic and neurosurgical specialties should ensure accurate coding of the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding fractures, improving the ability to capture the complexity of cervical spine injuries. S12.600 reflects the need for detailed documentation to support the unspecified nature of the fracture.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding fractures, improving the ability to capture the complexity of cervical spine injuries. S12.600 reflects the need for detailed documentation to support the unspecified nature of the fracture.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding fractures, improving the ability to capture the complexity of cervical spine injuries. S12.600 reflects the need for detailed documentation to support the unspecified nature of the fracture.

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 type of fracture?

Specifying the type of fracture is crucial for accurate coding, treatment planning, and understanding the potential complications associated with the injury.