Stable burst fracture of third thoracic vertebra
ICD-10 S22.031 is a billable code used to indicate a diagnosis of stable burst fracture of third thoracic vertebra.
A stable burst fracture of the third thoracic vertebra (T3) occurs when the vertebra sustains a fracture due to high-energy trauma, such as a fall or motor vehicle accident, without resulting in spinal instability. This type of fracture is characterized by the vertebral body being compressed and fragments being displaced, but the spinal canal remains intact, preserving neurological function. Patients may present with localized pain, tenderness, and limited mobility in the thoracic region. Diagnostic imaging, typically through X-rays or MRI, is essential for confirming the fracture and assessing any associated injuries. Treatment often involves conservative management, including pain control, physical therapy, and bracing, although surgical intervention may be necessary in cases of significant displacement or associated injuries. Monitoring for complications such as pneumothorax or hemothorax is crucial, as these can arise from the trauma that caused the fracture.
Detailed imaging reports, surgical notes, and follow-up assessments are essential.
Fractures resulting from falls, sports injuries, or vehicular accidents.
Ensure clear documentation of fracture stability and any surgical interventions performed.
Thorough documentation of initial assessment, imaging results, and treatment provided.
Patients presenting with chest trauma and potential spinal injuries.
Document all associated injuries and the mechanism of injury to support coding.
Used for stabilization of vertebral fractures, including burst fractures.
Pre-operative imaging, consent forms, and post-operative assessments.
Orthopedic surgeons must document the necessity of the procedure based on fracture stability.
A stable burst fracture maintains the integrity of the spinal canal and does not compromise neurological function, while an unstable fracture may lead to spinal instability and potential neurological deficits.
