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ICD-10 Guide
ICD-10 CodesS12.130

S12.130

Billable

Unspecified traumatic displaced spondylolisthesis of second cervical vertebra

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S12.130 is a billable code used to indicate a diagnosis of unspecified traumatic displaced spondylolisthesis of second cervical vertebra.

Key Diagnostic Point:

S12.130 refers to a specific type of spinal injury characterized by the displacement of the second cervical vertebra (C2) due to trauma. Spondylolisthesis occurs when one vertebra slips forward over another, which can lead to spinal instability and potential neurological complications. This condition is often the result of high-impact injuries, such as those sustained in motor vehicle accidents, falls, or sports-related incidents. The displacement can cause compression of the spinal cord or nerve roots, leading to symptoms such as neck pain, stiffness, and neurological deficits. Diagnosis typically involves imaging studies, including X-rays, CT scans, or MRIs, to assess the degree of displacement and any associated injuries. Management may range from conservative treatment, such as physical therapy and pain management, to surgical intervention in cases of significant instability or neurological compromise. Accurate coding is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of injury
  • Need for precise documentation of trauma mechanism
  • Differentiation from other cervical spine injuries
  • Potential for associated neurological deficits

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the degree of displacement
  • Misclassification of the injury type
  • Lack of supporting imaging documentation

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and any imaging results.

Common Clinical Scenarios

Trauma patients presenting with neck pain after a fall or motor vehicle accident.

Billing Considerations

Ensure that all neurological assessments are documented, as they are critical for determining the severity of the injury.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any corrective measures taken.

Common Clinical Scenarios

Patients requiring surgical intervention for significant displacement or neurological compromise.

Billing Considerations

Document any pre-existing conditions that may affect surgical outcomes.

Coding Guidelines

Inclusion Criteria

Use S12.130 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical documentation and that all relevant details about the injury are captured

Exclusion Criteria

Do NOT use S12.130 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63015CPT Code

Laminectomy, cervical

Clinical Scenario

Performed for decompression of the spinal cord due to spondylolisthesis.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Ensure that the surgical necessity is well documented to support the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries like spondylolisthesis, improving the granularity of data for treatment outcomes and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries like spondylolisthesis, improving the granularity of data for treatment outcomes and research.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries like spondylolisthesis, improving the granularity of data for treatment outcomes and research.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between S12.130 and S12.131?

S12.130 is used for unspecified traumatic displaced spondylolisthesis without neurological deficits, while S12.131 is used when there are neurological deficits present.