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ICD-10 Guide
ICD-10 CodesS12.44

S12.44

Billable

Type III traumatic spondylolisthesis of fifth cervical vertebra

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

Code Description

ICD-10 S12.44 is a billable code used to indicate a diagnosis of type iii traumatic spondylolisthesis of fifth cervical vertebra.

Key Diagnostic Point:

Type III traumatic spondylolisthesis of the fifth cervical vertebra refers to a specific type of spinal injury characterized by the anterior displacement of the fifth cervical vertebra (C5) due to trauma. This condition typically arises from high-energy impacts, such as motor vehicle accidents, falls from heights, or sports injuries. The mechanism of injury often involves flexion-distraction forces that lead to a fracture of the vertebral body and subsequent slippage. Clinically, patients may present with neck pain, neurological deficits, or signs of spinal cord compression, such as weakness or sensory changes in the upper extremities. Diagnosis is confirmed through imaging studies, including X-rays, CT scans, or MRI, which reveal the degree of displacement and any associated injuries to the spinal cord or surrounding structures. Management may involve conservative treatment, such as immobilization and physical therapy, or surgical intervention to stabilize the spine and decompress neural elements, depending on the severity of the injury and the presence of neurological symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific types of spondylolisthesis.
  • Differentiation from other cervical spine injuries.
  • Need for precise documentation of trauma mechanism.
  • Potential for associated neurological complications.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the type of spondylolisthesis.
  • Misclassification of the severity of the injury.
  • Lack of imaging documentation to support the diagnosis.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute neck pain following trauma, with or without neurological symptoms.

Billing Considerations

Ensure that all imaging results are documented and correlate with the clinical findings to support the diagnosis.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, findings, and any decompression or stabilization techniques used.

Common Clinical Scenarios

Surgical intervention for unstable spondylolisthesis with neurological compromise.

Billing Considerations

Accurate coding of surgical procedures must align with the diagnosis of spondylolisthesis.

Coding Guidelines

Inclusion Criteria

Use S12.44 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used in conjunction with appropriate external cause codes to indicate the mechanism of injury
  • Document the specific type of spondylolisthesis and any associated conditions

Exclusion Criteria

Do NOT use S12.44 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Anterior cervical discectomy and fusion

Clinical Scenario

Used in cases of spondylolisthesis requiring surgical intervention.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Ensure alignment of diagnosis with surgical procedure.

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, including spondylolisthesis, which enhances the ability to capture the complexity of these injuries and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of traumatic injuries, including spondylolisthesis, which enhances the ability to capture the complexity of these injuries and their management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of traumatic injuries, including spondylolisthesis, which enhances the ability to capture the complexity of these injuries and their management.

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 degenerative changes, and Type III is traumatic, often resulting from acute injury.