Unspecified displaced fracture of second cervical vertebra
ICD-10 S12.100 is a billable code used to indicate a diagnosis of unspecified displaced fracture of second cervical vertebra.
The S12.100 code refers to an unspecified displaced fracture of the second cervical vertebra (C2), commonly known as the axis. This type of fracture can occur due to high-energy trauma such as motor vehicle accidents, falls from heights, or sports injuries. The C2 vertebra is critical for the rotation of the head and supports the skull. Displacement of the fracture can lead to instability and potential spinal cord injury, resulting in neurological deficits. Clinical presentation may include neck pain, limited range of motion, and neurological symptoms such as weakness or numbness in the extremities. Diagnosis typically involves imaging studies, including X-rays, CT scans, or MRI, to assess the fracture's nature and any associated injuries. Management may range from conservative treatment, such as immobilization with a cervical collar, to surgical intervention for stabilization, depending on the fracture's severity and associated complications.
Documentation must include mechanism of injury, initial assessment findings, and any neurological evaluations performed.
Trauma patients presenting with neck pain after a fall or motor vehicle accident.
Ensure thorough documentation of neurological status and imaging results to support coding.
Operative reports must detail the surgical approach, findings, and any fixation devices used.
Patients requiring surgical stabilization of a C2 fracture due to instability or neurological compromise.
Accurate coding requires clear documentation of the surgical procedure and any complications encountered.
Used when surgical intervention is required for stabilization of a C2 fracture.
Operative report detailing the procedure, indications, and findings.
Ensure that the surgical approach and any complications are well documented.
Specifying the type of fracture is crucial for accurate coding, as it impacts treatment decisions, potential complications, and reimbursement.
