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ICD-10 Guide
ICD-10 CodesS12.630

S12.630

Billable

Unspecified traumatic displaced spondylolisthesis of seventh cervical vertebra

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

Code Description

ICD-10 S12.630 is a billable code used to indicate a diagnosis of unspecified traumatic displaced spondylolisthesis of seventh cervical vertebra.

Key Diagnostic Point:

S12.630 refers to a specific type of spinal injury characterized by the displacement of the seventh cervical vertebra (C7) due to trauma. Spondylolisthesis occurs when one vertebra slips forward over another, which can lead to spinal instability, nerve compression, and pain. This condition can arise from various traumatic events, such as falls, motor vehicle accidents, or sports injuries. The displacement is termed 'unspecified' when the exact nature of the trauma or the degree of displacement is not clearly documented. Clinically, patients may present with neck pain, limited range of motion, and neurological symptoms if nerve roots are affected. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the degree of displacement and any associated injuries. Management may include conservative treatment like physical therapy and pain management, or surgical intervention in severe cases. Understanding the mechanisms of injury and the clinical implications of spondylolisthesis is crucial for accurate coding and effective patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of trauma mechanisms
  • Need for precise imaging interpretation
  • Differentiation from other cervical spine injuries
  • Potential for associated neurological deficits

Audit Risk Factors

  • Inadequate documentation of trauma mechanism
  • Failure to specify the degree of displacement
  • Misclassification of the injury type
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of the mechanism of injury, initial assessment findings, and imaging results.

Common Clinical Scenarios

Patients presenting with neck pain after a fall or collision.

Billing Considerations

Ensure that all relevant trauma details are captured to support the diagnosis.

Surgery

Documentation Requirements

Detailed operative notes, including indications for surgery and findings during the procedure.

Common Clinical Scenarios

Surgical intervention for severe spondylolisthesis with neurological compromise.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S12.630 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific nature of the injury and that all documentation supports the diagnosis

Exclusion Criteria

Do NOT use S12.630 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Anterior cervical discectomy and fusion

Clinical Scenario

Used in cases of severe spondylolisthesis requiring surgical intervention.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Ensure that the surgical approach aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including spondylolisthesis, which enhances the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including spondylolisthesis, which enhances the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including spondylolisthesis, which enhances the ability to track and manage these conditions effectively.

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 S12.630 and S12.631?

S12.630 is used for unspecified traumatic displaced spondylolisthesis without neurological deficits, while S12.631 is for cases where neurological deficits are present.