Other dens fracture
ICD-10 S12.12 is a billable code used to indicate a diagnosis of other dens fracture.
A dens fracture, also known as an odontoid fracture, involves a break in the dens, which is the bony projection of the second cervical vertebra (C2). This type of fracture is often the result of high-energy trauma, such as motor vehicle accidents or falls, particularly in older adults. The dens is crucial for the stability and movement of the cervical spine, and fractures can lead to significant complications, including spinal cord injury and instability. Clinical presentation may include neck pain, limited range of motion, and neurological deficits depending on the severity of the injury. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the fracture's location and displacement. Management may range from conservative treatment with immobilization to surgical intervention, depending on the fracture's stability and associated injuries. Complications can include nonunion, malunion, and neurological deficits, making prompt and accurate diagnosis and treatment essential.
Complete documentation of the patient's presentation, mechanism of injury, and initial assessment findings.
Trauma patients presenting with neck pain after a fall or motor vehicle accident.
Ensure that all imaging results and neurological assessments are documented to support the diagnosis.
Detailed operative reports including the type of fracture, surgical approach, and any hardware used.
Patients requiring surgical stabilization of a dens fracture due to instability.
Document any pre-existing conditions that may affect surgical outcomes.
Used in cases where surgical stabilization of a dens fracture is required.
Operative report detailing the procedure and indications for surgery.
Ensure that the surgical approach and any hardware used are documented.
S12.12 specifies 'Other dens fracture,' indicating a specific type of fracture, while S12.11 is used when the type of dens fracture is unspecified.