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ICD-10 Guide
ICD-10 CodesS12.60

S12.60

Billable

Unspecified fracture of seventh cervical vertebra

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

Code Description

ICD-10 S12.60 is a billable code used to indicate a diagnosis of unspecified fracture of seventh cervical vertebra.

Key Diagnostic Point:

The S12.60 code represents an unspecified fracture of the seventh cervical vertebra (C7), which is located at the base of the neck and plays a crucial role in supporting the head and facilitating movement. Fractures in this region can occur due to various mechanisms, including trauma from falls, motor vehicle accidents, sports injuries, or violent impacts. The clinical presentation may include neck pain, limited range of motion, neurological deficits, or signs of spinal cord injury. Diagnostic imaging, such as X-rays, CT scans, or MRIs, is essential for confirming the fracture and assessing any associated injuries. Management typically involves immobilization, pain management, and in some cases, surgical intervention to stabilize the spine. Complications can include chronic pain, neurological impairment, or instability of the cervical spine if not properly managed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of injury
  • Need for precise documentation of mechanism of injury
  • Potential for associated neurological injuries
  • Differentiation from other cervical spine injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture
  • Lack of imaging reports to support the diagnosis
  • Inconsistent coding of associated conditions

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with neck pain after a fall or motor vehicle accident, requiring immediate evaluation for potential spinal injury.

Billing Considerations

Ensure that all neurological assessments are documented, as they are critical for determining the severity of the injury.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any fixation devices used.

Common Clinical Scenarios

Patients requiring surgical intervention for stabilization of the cervical spine due to fracture.

Billing Considerations

Document any pre-existing conditions that may affect surgical outcomes or recovery.

Coding Guidelines

Inclusion Criteria

Use S12.60 When
  • Follow the ICD
  • CM guidelines for coding injuries, ensuring that the code reflects the specific nature of the fracture and any associated conditions
  • Document the mechanism of injury and any relevant clinical findings

Exclusion Criteria

Do NOT use S12.60 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63015CPT Code

Laminectomy, cervical, single segment

Clinical Scenario

Used when surgical intervention is required for cervical spine stabilization.

Documentation Requirements

Operative report detailing the procedure and indications for surgery.

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 cervical spine injuries, improving the accuracy of diagnoses and treatment tracking. S12.60 provides a general classification, but coders should strive for specificity when possible.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of diagnoses and treatment tracking. S12.60 provides a general classification, but coders should strive for specificity when possible.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of diagnoses and treatment tracking. S12.60 provides a general classification, but coders should strive for specificity when possible.

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 should I document to support the use of S12.60?

Document the mechanism of injury, clinical findings, imaging results, and any associated symptoms or conditions to support the use of this code.