Posterior arch fracture of first cervical vertebra
ICD-10 S12.03 is a billable code used to indicate a diagnosis of posterior arch fracture of first cervical vertebra.
A posterior arch fracture of the first cervical vertebra, also known as the atlas, typically occurs due to high-energy trauma, such as motor vehicle accidents, falls from heights, or sports injuries. This type of fracture can compromise the stability of the cervical spine and may lead to neurological deficits if the spinal cord is involved. Clinically, patients may present with neck pain, limited range of motion, and neurological symptoms depending on the severity of the injury. Diagnosis is primarily through imaging studies, including X-rays and CT scans, which can reveal the fracture and assess for any associated injuries. Management often involves immobilization with a cervical collar, and in some cases, surgical intervention may be necessary to stabilize the spine and prevent further complications. Complications can include chronic pain, instability, and neurological deficits, making prompt and accurate diagnosis and treatment essential.
Complete documentation of initial assessment, imaging results, and treatment plan.
Trauma patients presenting with neck pain after a fall or accident.
Ensure thorough documentation of neurological status and mechanism of injury.
Detailed operative reports, including indications for surgery and post-operative care.
Surgical intervention for unstable fractures or decompression of the spinal cord.
Document any intraoperative findings that may affect coding.
Used in cases where surgical intervention is required for stabilization.
Operative report detailing the procedure and indications.
Ensure alignment with the diagnosis of the fracture.
Common causes include high-energy trauma such as motor vehicle accidents, falls from heights, and sports injuries. These mechanisms can lead to significant injury to the cervical spine.
