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ICD-10 Guide
ICD-10 CodesS22.082

S22.082

Billable

Unstable burst fracture of T11-T12 vertebra

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/23/2025

Code Description

ICD-10 S22.082 is a billable code used to indicate a diagnosis of unstable burst fracture of t11-t12 vertebra.

Key Diagnostic Point:

An unstable burst fracture of the T11-T12 vertebra is a severe spinal injury characterized by the vertebral body fracturing into multiple fragments, often resulting from high-energy trauma such as a fall from a height or a motor vehicle accident. This type of fracture can lead to significant spinal instability and potential neurological compromise due to the displacement of bone fragments. Patients may present with acute back pain, neurological deficits, and signs of spinal cord injury. Associated injuries may include rib fractures, pneumothorax, hemothorax, and cardiac injuries, which complicate the clinical picture. Management typically involves surgical intervention to stabilize the spine, decompress the spinal cord if necessary, and address any associated thoracic injuries. The prognosis depends on the extent of the injury and the timeliness of treatment. Accurate coding is essential for appropriate reimbursement and to reflect the severity of the injury in the patient's medical record.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed documentation of the type and extent of fracture.
  • Involves understanding of associated thoracic injuries.
  • May require differentiation from stable fractures.
  • Potential for multiple co-existing conditions complicating coding.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to document associated injuries.
  • Misclassification of fracture stability.
  • Lack of clarity in surgical intervention details.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Surgical stabilization of unstable fractures, management of complications.

Billing Considerations

Ensure accurate description of fracture type and surgical approach.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments, documentation of all injuries.

Common Clinical Scenarios

Management of polytrauma patients with thoracic injuries.

Billing Considerations

Thorough documentation of all associated injuries and interventions.

Coding Guidelines

Inclusion Criteria

Use S22.082 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, associated injuries, and any surgical interventions
  • Include details on the mechanism of injury and any neurological assessments

Exclusion Criteria

Do NOT use S22.082 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22610CPT Code

Posterior lumbar fusion

Clinical Scenario

Used in surgical stabilization of unstable burst fractures.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

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, improving the accuracy of patient records and facilitating better management of complex cases like unstable burst fractures.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spinal injuries, improving the accuracy of patient records and facilitating better management of complex cases like unstable burst fractures.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spinal injuries, improving the accuracy of patient records and facilitating better management of complex cases like unstable burst fractures.

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 stable and unstable burst fractures?

Stable burst fractures do not compromise spinal stability and typically do not require surgical intervention, while unstable burst fractures involve significant displacement and require surgical stabilization.