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ICD-10 Guide
ICD-10 CodesS12.651

S12.651

Billable

Other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra

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

Code Description

ICD-10 S12.651 is a billable code used to indicate a diagnosis of other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra.

Key Diagnostic Point:

S12.651 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 mechanism of injury typically involves sudden flexion or extension of the neck, leading to instability at the cervical spine. 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 is confirmed through imaging studies, including X-rays, CT scans, or MRI, which help visualize the alignment of the cervical vertebrae and assess for any associated soft tissue injuries. Management may involve conservative treatment such as immobilization with a cervical collar, 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

  • Requires understanding of specific spinal anatomy and injury mechanisms
  • Differentiation from other types of spondylolisthesis
  • Need for precise documentation of trauma history
  • Potential for associated neurological symptoms complicating coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of spondylolisthesis
  • Misclassification of the injury as a fracture
  • Lack of imaging documentation to support the diagnosis

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed documentation of 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 trauma history is clearly documented to support the diagnosis.

Surgery

Documentation Requirements

Comprehensive operative notes detailing the surgical approach, findings, and any interventions performed.

Common Clinical Scenarios

Surgical management of cervical instability due to spondylolisthesis.

Billing Considerations

Accurate coding of surgical procedures related to the injury is crucial for reimbursement.

Coding Guidelines

Inclusion Criteria

Use S12.651 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific type of injury and its clinical implications
  • Documentation must support the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use S12.651 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 detailing the procedure and indications.

Specialty Considerations

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

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 nondisplaced spondylolisthesis, which enhances the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spinal injuries, including nondisplaced spondylolisthesis, which enhances the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 spondylolisthesis and spondylosis?

Spondylolisthesis refers to the forward displacement of a vertebra, while spondylosis is a degenerative condition affecting the spinal discs and joints, often leading to pain and stiffness.