Other nondisplaced fracture of second cervical vertebra
ICD-10 S12.191 is a billable code used to indicate a diagnosis of other nondisplaced fracture of second cervical vertebra.
The S12.191 code refers to a nondisplaced fracture of the second cervical vertebra (C2), which is a critical component of the cervical spine. Nondisplaced fractures are characterized by the bone being cracked but not misaligned, allowing for a potentially less complicated healing process. The C2 vertebra, also known as the axis, plays a vital role in the rotation of the head and supports the skull. Injuries to this area can occur due to various mechanisms, including falls, motor vehicle accidents, or sports-related injuries. Clinical presentation may include neck pain, limited range of motion, and neurological symptoms if there is spinal cord involvement. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to confirm the fracture and assess for any associated injuries. Management may include conservative treatment with immobilization or, in some cases, surgical intervention if instability or neurological compromise is present. Complications can include chronic pain, neurological deficits, or nonunion of the fracture. Accurate coding is essential for proper treatment and reimbursement, necessitating thorough documentation of the injury mechanism and clinical findings.
Documentation must include a detailed account of the patient's presentation, mechanism of injury, and initial assessment findings.
Trauma patients presenting after falls or vehicular accidents with neck pain.
Ensure that all imaging results are documented and correlate with the clinical findings.
Operative reports should detail the surgical approach, findings, and any fixation methods used.
Patients requiring surgical intervention for stabilization of the cervical spine.
Document any pre-existing conditions that may affect surgical outcomes.
Used in cases where surgical intervention is necessary for stabilization.
Operative report must detail the procedure and indications.
Ensure that the surgical necessity is well-documented to support the procedure.
A displaced fracture involves a break in the bone where the ends are misaligned, while a nondisplaced fracture means the bone cracks but remains in its normal position.
