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ICD-10 Guide
ICD-10 CodesS12.24

S12.24

Billable

Type III traumatic spondylolisthesis of third cervical vertebra

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

Code Description

ICD-10 S12.24 is a billable code used to indicate a diagnosis of type iii traumatic spondylolisthesis of third cervical vertebra.

Key Diagnostic Point:

Type III traumatic spondylolisthesis of the third cervical vertebra refers to a specific type of spinal injury characterized by the anterior displacement of the third cervical vertebra (C3) relative to the fourth cervical vertebra (C4) due to trauma. This condition typically arises from high-energy impacts, such as those sustained in motor vehicle accidents, falls from significant heights, or sports-related injuries. The mechanism of injury often involves flexion-distraction forces that lead to vertebral body fractures and subsequent slippage. Clinically, patients may present with neck pain, neurological deficits, or signs of spinal cord compression, necessitating immediate imaging studies such as X-rays or MRI to assess the extent of the injury. Management may involve conservative treatment, including immobilization and physical therapy, or surgical intervention to stabilize the spine and decompress neural structures. Complications can include chronic pain, neurological impairment, or further instability if not adequately addressed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the injury type
  • Need for accurate documentation of mechanism of injury
  • Potential for associated neurological deficits
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of spondylolisthesis
  • Misclassification of the injury severity
  • Omission of neurological assessment findings

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include details of the injury mechanism, patient presentation, and initial assessment findings.

Common Clinical Scenarios

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

Billing Considerations

Ensure thorough documentation of neurological status and imaging results to support coding.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any decompression or stabilization performed.

Common Clinical Scenarios

Patients undergoing surgical intervention for cervical spondylolisthesis due to trauma.

Billing Considerations

Accurate coding requires clear documentation of the surgical procedure and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use S12.24 When
  • Follow ICD
  • CM guidelines for coding injuries, ensuring specificity in the type of spondylolisthesis and associated conditions
  • Document the mechanism of injury and any complications

Exclusion Criteria

Do NOT use S12.24 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63075CPT Code

Laminectomy, cervical, for decompression of spinal cord

Clinical Scenario

Used when surgical intervention is required for decompression due to spondylolisthesis.

Documentation Requirements

Operative report must detail the procedure and indications.

Specialty Considerations

Ensure alignment with the diagnosis of traumatic spondylolisthesis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for greater specificity in coding injuries like spondylolisthesis, improving data accuracy and patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 allows for greater specificity in coding injuries like spondylolisthesis, improving data accuracy and patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 allows for greater specificity in coding injuries like spondylolisthesis, improving data accuracy and patient care tracking.

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 Type I, II, and III spondylolisthesis?

Type I is a congenital defect, Type II is due to a defect in the pars interarticularis, and Type III is traumatic, often resulting from acute injury.