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ICD-10 Guide
ICD-10 CodesS12.43

S12.43

Billable

Unspecified traumatic spondylolisthesis of fifth cervical vertebra

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

Code Description

ICD-10 S12.43 is a billable code used to indicate a diagnosis of unspecified traumatic spondylolisthesis of fifth cervical vertebra.

Key Diagnostic Point:

Unspecified traumatic spondylolisthesis of the fifth cervical vertebra refers to a condition where there is a displacement of the fifth cervical vertebra due to trauma. This injury can occur from various mechanisms, including motor vehicle accidents, falls, or sports injuries. The spondylolisthesis may lead to spinal instability, nerve compression, and resultant neurological deficits. Symptoms often include neck pain, stiffness, and potential radicular pain if nerve roots are affected. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess vertebral alignment and any associated soft tissue injuries. Management may range from conservative treatment, including physical therapy and pain management, to surgical intervention in cases of significant instability or neurological compromise. Accurate coding is essential for proper reimbursement and tracking of injury patterns.

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 document associated neurological symptoms
  • Misclassification of the type of spondylolisthesis
  • Lack of clarity in imaging results

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting after a fall or motor vehicle accident with neck pain and potential neurological symptoms.

Billing Considerations

Ensure that all imaging results and neurological assessments are documented to support the diagnosis.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any complications encountered during the procedure.

Common Clinical Scenarios

Surgical intervention for cervical spondylolisthesis due to trauma, including decompression and stabilization procedures.

Billing Considerations

Document the rationale for surgical intervention and any pre-existing conditions that may affect recovery.

Coding Guidelines

Inclusion Criteria

Use S12.43 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical scenario and that all relevant documentation supports the diagnosis

Exclusion Criteria

Do NOT use S12.43 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63075CPT Code

Laminectomy, cervical, single segment

Clinical Scenario

Performed for decompression of the spinal cord due to spondylolisthesis.

Documentation Requirements

Operative report detailing the procedure, indications, and findings.

Specialty Considerations

Ensure that the surgical approach and any complications are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of traumatic injuries, improving the granularity of data for tracking and reimbursement. S12.43 provides a clear designation for unspecified traumatic spondylolisthesis, which aids in clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of traumatic injuries, improving the granularity of data for tracking and reimbursement. S12.43 provides a clear designation for unspecified traumatic spondylolisthesis, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement. S12.43 provides a clear designation for unspecified traumatic spondylolisthesis, which aids in clinical management 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 traumatic and non-traumatic spondylolisthesis?

Traumatic spondylolisthesis results from an injury or trauma to the spine, while non-traumatic spondylolisthesis can occur due to degenerative changes, congenital factors, or other non-injury related causes.