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ICD-10 Guide
ICD-10 CodesS12.551

S12.551

Billable

Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra

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

Code Description

ICD-10 S12.551 is a billable code used to indicate a diagnosis of other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra.

Key Diagnostic Point:

S12.551 refers to a specific type of spinal injury characterized by a nondisplaced spondylolisthesis at the sixth cervical vertebra (C6). This condition occurs when one vertebra slips forward over another without fracturing or displacing the vertebra itself. It is often the result of trauma, such as a fall, motor vehicle accident, or sports injury, where excessive force is applied to the cervical spine. Clinically, patients may present with neck pain, stiffness, and neurological symptoms depending on the severity of the injury and any associated spinal cord involvement. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to confirm the presence of spondylolisthesis and assess for any potential complications. Management may include conservative treatment such as physical therapy, pain management, and in some cases, surgical intervention if neurological deficits or instability are present. Understanding the mechanisms of injury and the clinical implications is crucial for accurate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the injury location (C6 vertebra)
  • Differentiation between displaced and nondisplaced spondylolisthesis
  • Need for detailed documentation of trauma mechanism
  • Potential for associated neurological symptoms

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the nondisplaced nature of the spondylolisthesis
  • Lack of imaging reports to support the diagnosis
  • Misclassification of the injury type (e.g., coding as displaced)

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Acute care documentation should include a thorough history of the injury, physical examination findings, and any imaging results.

Common Clinical Scenarios

Patients presenting with neck pain after a fall or collision, requiring immediate assessment for potential spinal injuries.

Billing Considerations

Emergency physicians must document the mechanism of injury clearly to support the diagnosis and coding.

Surgery

Documentation Requirements

Operative notes must detail the surgical approach, findings, and any corrective measures taken during surgery.

Common Clinical Scenarios

Surgical intervention for patients with significant neurological deficits or instability due to spondylolisthesis.

Billing Considerations

Surgeons should ensure that the coding reflects the specific nature of the spondylolisthesis and any associated procedures performed.

Coding Guidelines

Inclusion Criteria

Use S12.551 When
  • Follow the official ICD
  • CM guidelines for coding injuries, ensuring that the code reflects the specific nature of the injury and any associated conditions
  • Documentation must support the diagnosis and include details about the mechanism of injury

Exclusion Criteria

Do NOT use S12.551 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63030CPT 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 detailing the procedure and indications for surgery.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of nondisplaced spondylolisthesis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including spondylolisthesis, which aids in better tracking of injury types and treatment outcomes. This specificity can improve patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including spondylolisthesis, which aids in better tracking of injury types and treatment outcomes. This specificity can improve patient care and resource allocation.

Reimbursement & Billing Impact

reimbursement and compliance.

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, which may lead to more severe symptoms and complications, while nondisplaced spondylolisthesis indicates that the vertebra remains in alignment, often resulting in less severe clinical manifestations.