Stable burst fracture of second thoracic vertebra
ICD-10 S22.021 is a billable code used to indicate a diagnosis of stable burst fracture of second thoracic vertebra.
A stable burst fracture of the second thoracic vertebra (T2) is characterized by a fracture that results from axial loading, leading to the vertebral body being compressed and fragments being displaced. This type of fracture is typically stable, meaning that the spinal column remains intact and there is no significant risk of spinal cord injury. Patients may present with localized pain in the thoracic region, potential neurological symptoms depending on the extent of the injury, and may also exhibit signs of associated chest trauma. It is crucial to assess for concurrent injuries such as rib fractures, pneumothorax, or hemothorax, which can complicate the clinical picture. Management often involves conservative treatment, including pain management and physical therapy, although surgical intervention may be necessary in cases of instability or significant displacement. Accurate coding requires thorough documentation of the mechanism of injury, associated conditions, and the treatment plan.
Detailed imaging reports, surgical notes, and follow-up assessments.
Management of stable vs. unstable fractures, surgical interventions for severe cases.
Documentation must clarify the stability of the fracture and any surgical interventions performed.
Initial assessment notes, imaging results, and treatment plans.
Acute trauma presentations, assessment of associated injuries.
Thorough documentation of the mechanism of injury and any immediate interventions is critical.
Used in cases of vertebral compression fractures.
Pre-operative imaging and consent forms.
Orthopedic documentation must include indications for the procedure.
A stable burst fracture does not compromise the spinal canal or cause neurological deficits, while an unstable fracture may lead to spinal cord injury or significant displacement.
