ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS12.430

S12.430

Billable

Unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra

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

Code Description

ICD-10 S12.430 is a billable code used to indicate a diagnosis of unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra.

Key Diagnostic Point:

S12.430 refers to a specific type of spinal injury characterized by the displacement of the fifth cervical vertebra (C5) due to trauma. Spondylolisthesis occurs when one vertebra slips forward over another, which can lead to spinal instability and potential nerve compression. This condition is often the result of high-impact injuries, such as those sustained in motor vehicle accidents, falls, or sports-related incidents. The displaced vertebra can cause significant pain, neurological deficits, and functional impairment. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the degree of displacement and any associated injuries to the spinal cord or surrounding structures. Management may include conservative treatment options like physical therapy and pain management, or surgical intervention in cases of severe displacement 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 imaging results in the medical record

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a thorough assessment of the patient's neurological status, mechanism of injury, and any immediate interventions performed.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all imaging studies are documented and correlate with the clinical findings.

Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical intervention for severe displacement causing neurological deficits.

Billing Considerations

Document the rationale for surgical intervention and any preoperative assessments.

Coding Guidelines

Inclusion Criteria

Use S12.430 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific nature of the injury and any associated conditions
  • Documentation must support the diagnosis and any treatments provided

Exclusion Criteria

Do NOT use S12.430 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63075CPT Code

Laminectomy, cervical, for decompression of spinal cord

Clinical Scenario

Used in cases where surgical intervention is required for decompression due to spondylolisthesis.

Documentation Requirements

Operative report must detail the procedure and rationale.

Specialty Considerations

Ensure that the surgical approach aligns with the diagnosis.

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 and outcomes analysis.

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 and outcomes analysis.

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 and outcomes analysis.

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 S12.430 and S12.431?

S12.430 is used for unspecified traumatic displaced spondylolisthesis without neurological deficits, while S12.431 is for cases where there are neurological deficits present.