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ICD-10 Guide
ICD-10 CodesS32.002

S32.002

Billable

Unstable burst fracture of unspecified lumbar vertebra

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/23/2025

Code Description

ICD-10 S32.002 is a billable code used to indicate a diagnosis of unstable burst fracture of unspecified lumbar vertebra.

Key Diagnostic Point:

An unstable burst fracture of the lumbar vertebra is a severe spinal injury characterized by the vertebra breaking into multiple fragments, which can lead to spinal instability and potential neurological compromise. This type of fracture typically results from high-energy trauma, such as a fall from a height or a motor vehicle accident. The fracture can cause significant pain, deformity, and impaired mobility. Patients may present with acute back pain, neurological deficits, or signs of spinal cord injury. Diagnosis is usually confirmed through imaging studies, including X-rays, CT scans, or MRIs, which reveal the fracture pattern and assess for any associated injuries to the spinal cord or surrounding structures. Management often requires surgical intervention to stabilize the spine, relieve pressure on the spinal cord, and restore vertebral alignment. Post-operative care is crucial for recovery and may involve rehabilitation to regain strength and mobility.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed documentation of the mechanism of injury.
  • Involves assessment of neurological status and potential complications.
  • May necessitate multiple imaging studies for accurate diagnosis.
  • Surgical interventions can vary widely, affecting coding.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to document neurological assessments.
  • Misclassification of fracture type (stable vs. unstable).
  • Lack of clarity on associated injuries or complications.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Patients presenting with acute back pain following trauma, requiring surgical stabilization.

Billing Considerations

Ensure clear documentation of fracture type and surgical approach for accurate coding.

Emergency Medicine

Documentation Requirements

Comprehensive trauma assessments, including neurological evaluations and imaging results.

Common Clinical Scenarios

Patients with acute trauma presenting to the ER with back pain and potential neurological deficits.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S32.002 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, associated injuries, and any surgical interventions
  • Include details on the mechanism of injury and neurological assessments

Exclusion Criteria

Do NOT use S32.002 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22554CPT Code

Percutaneous vertebroplasty

Clinical Scenario

Used for stabilization of burst fractures in patients with significant pain.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the fracture type and surgical approach.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lumbar spine injuries, improving the accuracy of data collection and reimbursement processes. S32.002 provides a clear distinction for unstable fractures, which is critical for treatment planning and outcomes tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lumbar spine injuries, improving the accuracy of data collection and reimbursement processes. S32.002 provides a clear distinction for unstable fractures, which is critical for treatment planning and outcomes tracking.

Reimbursement & Billing Impact

reimbursement processes. S32.002 provides a clear distinction for unstable fractures, which is critical for treatment planning and outcomes tracking.

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 stable and unstable burst fractures?

Stable burst fractures do not compromise spinal stability or neurological function, while unstable burst fractures involve significant fragmentation and potential spinal cord injury, requiring surgical intervention.