Displaced lateral mass fracture of first cervical vertebra
ICD-10 S12.040 is a billable code used to indicate a diagnosis of displaced lateral mass fracture of first cervical vertebra.
A displaced lateral mass fracture of the first cervical vertebra (C1) typically occurs due to high-energy trauma, such as motor vehicle accidents, falls from heights, or sports injuries. This fracture can compromise the stability of the cervical spine and may lead to neurological deficits if the spinal cord is involved. The lateral masses of C1 are critical for the articulation with the occipital condyles of the skull and provide support for the head. Diagnosis is often confirmed through imaging studies, including X-rays, CT scans, or MRI, which can reveal the extent of the fracture and any associated soft tissue injuries. Management may involve conservative treatment with immobilization or surgical intervention, depending on the severity of the fracture and the presence of neurological symptoms. Complications can include chronic pain, instability of the cervical spine, and potential for spinal cord injury, necessitating careful monitoring and follow-up.
Detailed documentation of the mechanism of injury, initial assessment findings, and imaging results.
Trauma cases presenting with neck pain after a fall or collision.
Ensure that all neurological assessments are documented to support the diagnosis and treatment plan.
Operative reports must detail the surgical approach, findings, and any fixation methods used.
Surgical intervention for unstable fractures or those with neurological compromise.
Document any intraoperative findings that may affect coding, such as additional injuries or complications.
Used in surgical management of displaced cervical fractures.
Operative report detailing the procedure and indications.
Ensure that the surgical approach is clearly documented.
Accurate coding of S12.040 is crucial for appropriate reimbursement, tracking of injury patterns, and ensuring that patients receive the correct level of care based on the severity of their injury.
