Other nondisplaced dens fracture
ICD-10 S12.121 is a billable code used to indicate a diagnosis of other nondisplaced dens fracture.
A nondisplaced dens fracture refers to a fracture of the odontoid process (dens) of the second cervical vertebra (C2) that does not result in displacement of the bone fragments. This type of fracture is often caused by trauma, such as a fall or motor vehicle accident, where the head is suddenly forced forward or backward, leading to hyperextension or hyperflexion injuries. Clinically, patients may present with neck pain, limited range of motion, and neurological symptoms if there is spinal cord involvement. Diagnosis typically involves imaging studies, such as X-rays or CT scans, to confirm the presence and type of fracture. Management may include conservative treatment with immobilization in a cervical collar or, in some cases, surgical intervention if instability is present. Complications can include nonunion of the fracture, neurological deficits, and chronic pain. Accurate coding is essential for proper reimbursement and to reflect the severity of the injury.
Complete documentation of initial assessment, imaging results, and treatment plan.
Patients presenting with acute neck pain after trauma, requiring imaging and possible cervical collar application.
Ensure that the mechanism of injury is clearly documented to support the diagnosis.
Detailed operative notes, including indications for surgery and post-operative care.
Surgical intervention for unstable fractures or nonunion cases.
Document any intraoperative findings that may affect coding, such as additional injuries.
Used in cases where surgical intervention is necessary for stabilization.
Operative report detailing the procedure and indications.
Ensure that the surgical necessity is well-documented to support the procedure.
A displaced dens fracture involves a separation of the fracture fragments, which can lead to instability and potential spinal cord injury, while a nondisplaced fracture means the bone fragments remain aligned.
