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ICD-10 Guide
ICD-10 CodesS12.650

S12.650

Billable

Other traumatic displaced spondylolisthesis of seventh cervical vertebra

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

Code Description

ICD-10 S12.650 is a billable code used to indicate a diagnosis of other traumatic displaced spondylolisthesis of seventh cervical vertebra.

Key Diagnostic Point:

S12.650 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 significant pain. This condition can arise from various traumatic events, such as motor vehicle accidents, falls, or sports injuries. The mechanism of injury often involves a sudden impact or forceful movement that disrupts the normal alignment of the cervical spine. Clinically, patients may present with neck pain, limited range of motion, and neurological symptoms such as numbness or weakness in the arms. Diagnosis typically involves imaging studies, including X-rays, CT scans, or MRIs, to assess the degree of displacement and any associated injuries. Management may include conservative treatment such as physical therapy and pain management, or surgical intervention in severe cases to stabilize the spine and relieve nerve compression. Complications can include chronic pain, neurological deficits, and the potential for further spinal instability if not properly managed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific anatomical terminology
  • Involves knowledge of trauma mechanisms
  • Differentiation from other types of spondylolisthesis
  • Need for precise documentation of injury details

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of spondylolisthesis
  • Misclassification of the injury severity
  • Lack of imaging results in the medical record

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of the patient's presentation, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant imaging studies are documented and correlate with the diagnosis.

Surgery

Documentation Requirements

Detailed operative reports that describe the surgical procedure, indications, and any complications.

Common Clinical Scenarios

Surgical intervention for severe spondylolisthesis requiring stabilization.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S12.650 When
  • Follow ICD
  • CM guidelines for coding injuries, ensuring specificity in the description of the injury and its cause
  • Document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S12.650 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Arthrodesis, anterior or posterior technique, cervical

Clinical Scenario

Used in cases requiring surgical stabilization of the cervical spine due to spondylolisthesis.

Documentation Requirements

Operative report detailing the procedure, indications, and any complications.

Specialty Considerations

Ensure that the surgical approach aligns with the diagnosis and that all relevant preoperative assessments are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding cervical spine injuries, improving the accuracy of diagnoses and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding cervical spine injuries, improving the accuracy of diagnoses and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding cervical spine injuries, improving the accuracy of diagnoses and treatment plans.

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 primary cause of S12.650?

The primary cause of S12.650 is trauma, which can result from various incidents such as falls, motor vehicle accidents, or sports injuries leading to the displacement of the seventh cervical vertebra.