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ICD-10-CM Code S12.01
Stable burst fracture of first cervical vertebra

NON-BILLABLE
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
7th Character Required
7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."
| ICD-10 from 2011 - 2016

ICD Code S12.01 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'stable burst fracture of first cervical vertebra' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:


7th Digit Billable Code 7th Digit Specifies
A S12.01XA initial encounter
B S12.01XB initial encounter for open fracture
D S12.01XD subsequent encounter
G S12.01XG subsequent encounter for fracture with delayed healing
K S12.01XK subsequent encounter for fracture with nonunion
S S12.01XS sequela

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More Info

The ICD code S120 is used to code Jefferson fracture

A Jefferson fracture is a bone fracture of the anterior and posterior arches of the C1 vertebra, though it may also appear as a three- or two-part fracture. The fracture may result from an axial load on the back of the head or hyperextension of the neck (e.g. caused by diving), causing a posterior break, and may be accompanied by a break in other parts of the cervical spine.

Specialty: Emergency Medicine
ICD 9 Code: 805.01

Image of the first cervical vertebra, which is broken during a Jefferson fracture

Source: Wikipedia

Related Concepts SNOMET-CT

  • Open fracture of atlas without spinal cord lesion (disorder)
  • Open fracture atlas (disorder)

Coding Advice SNOMET-CT

  • Possible requirement for an external cause code

ICD-10-CM Alphabetical Index References for 'S12.01 - Stable burst fracture of first cervical vertebra'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S12.01. Click on any term below to browse the alphabetical index.


Parent Code: S12.0 - Fracture of first cervical vertebra

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/S1201