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ICD-10 Guide
ICD-10 CodesS12.531

S12.531

Billable

Unspecified traumatic nondisplaced spondylolisthesis of sixth cervical vertebra

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

Code Description

ICD-10 S12.531 is a billable code used to indicate a diagnosis of unspecified traumatic nondisplaced spondylolisthesis of sixth cervical vertebra.

Key Diagnostic Point:

S12.531 refers to a specific type of spinal injury characterized by the forward displacement of the sixth cervical vertebra (C6) relative to the vertebra below it, without any accompanying fracture or displacement of the vertebra itself. This condition often arises from traumatic events such as falls, motor vehicle accidents, or sports injuries. The nondisplaced nature of the spondylolisthesis indicates that while the vertebra has shifted, it has not fractured or moved out of its normal alignment significantly. Clinically, patients may present with neck pain, limited range of motion, and neurological symptoms depending on the severity of the injury and any potential involvement of the spinal cord or nerve roots. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the alignment of the cervical spine and rule out other injuries. Management may include conservative treatment options like physical therapy, pain management, and in some cases, surgical intervention if neurological deficits are present or if conservative measures fail.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the mechanism of injury
  • Differentiation from other types of spondylolisthesis
  • Potential for associated injuries in the cervical spine
  • Variability in clinical presentation and management

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the nondisplaced nature of the injury
  • Lack of imaging studies to support the diagnosis
  • Misclassification of the injury type

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and any imaging results.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant 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.

Common Clinical Scenarios

Surgical intervention for decompression or stabilization of the cervical spine following a traumatic injury.

Billing Considerations

Document any pre-existing conditions that may affect surgical outcomes and coding.

Coding Guidelines

Inclusion Criteria

Use S12.531 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical documentation and that all relevant details about the injury are captured

Exclusion Criteria

Do NOT use S12.531 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 that the surgical necessity is clearly documented to support the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of spinal injuries, improving the accuracy of data collection and reimbursement processes. S12.531 provides a clear distinction between types of 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 spinal injuries, improving the accuracy of data collection and reimbursement processes. S12.531 provides a clear distinction between types of spondylolisthesis, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. S12.531 provides a clear distinction between types of 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 displaced and nondisplaced spondylolisthesis?

Displaced spondylolisthesis involves a significant shift of the vertebra, often accompanied by fractures, while nondisplaced spondylolisthesis indicates that the vertebra has shifted but remains in alignment without fractures.