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ICD-10 Guide
ICD-10 CodesS12.631

S12.631

Billable

Unspecified traumatic nondisplaced spondylolisthesis of seventh cervical vertebra

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

Code Description

ICD-10 S12.631 is a billable code used to indicate a diagnosis of unspecified traumatic nondisplaced spondylolisthesis of seventh cervical vertebra.

Key Diagnostic Point:

S12.631 refers to a specific type of spinal injury characterized by the anterior displacement of the seventh cervical vertebra (C7) due to trauma, without any associated fracture or displacement of the vertebra itself. This condition often arises from high-impact injuries such as motor vehicle accidents, falls from heights, or sports-related injuries. The nondisplaced nature of the spondylolisthesis indicates that while the vertebra has shifted forward, it remains in alignment with the adjacent vertebrae, which can lead to varying degrees of neurological symptoms depending on the severity of the injury. Clinically, patients may present with neck pain, stiffness, and potential neurological deficits if spinal cord compression occurs. 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 and pain management, or surgical intervention in cases of significant instability or neurological compromise.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced injuries
  • Understanding the specific anatomical location of the injury
  • Identifying associated neurological symptoms
  • Documenting the mechanism of injury accurately

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the nondisplaced nature of the spondylolisthesis
  • Misclassification of the injury type (displaced vs. nondisplaced)
  • Lack of imaging documentation to support the diagnosis

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly document the mechanism of injury, initial assessment findings, and any imaging results.

Common Clinical Scenarios

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

Billing Considerations

Ensure that the documentation reflects the acute nature of the injury and any immediate interventions performed.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, findings, and any corrective measures taken.

Common Clinical Scenarios

Surgical intervention for stabilization of the cervical spine due to spondylolisthesis.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S12.631 When
  • Follow the ICD
  • CM coding guidelines for injuries, ensuring that the code reflects the specific nature of the injury and any associated conditions
  • Document the mechanism of injury and any relevant clinical findings

Exclusion Criteria

Do NOT use S12.631 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Arthrodesis, anterior or posterior technique, cervical spine

Clinical Scenario

Used when surgical intervention is required for stabilization of the cervical spine.

Documentation Requirements

Operative report must detail the procedure performed and the indication for surgery.

Specialty Considerations

Orthopedic and neurosurgical specialties should ensure accurate coding based on the surgical approach.

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, including the differentiation between displaced and nondisplaced spondylolisthesis, which aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spinal injuries, including the differentiation between displaced and nondisplaced spondylolisthesis, which aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spinal injuries, including the differentiation between displaced and nondisplaced spondylolisthesis, which aids in better tracking of treatment outcomes and resource allocation.

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 vertebra that has moved out of alignment, while nondisplaced spondylolisthesis indicates that the vertebra remains in its normal position despite the forward slip.