2026 ICD-10-CM Diagnosis Code S12Fracture of cervical vertebra and other parts of neck
S12 is a non-billable ICD-10-CM category code for fracture of cervical vertebra and other parts of neck, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S12.000A, S12.000B, S12.000D, and S12.000G.
Code Identity
Code Classification
Specific Coding for Fracture of cervical vertebra and other parts of neckOverview
Non-specific codes like S12 require more characters. Use one of these billable codes instead:
S12.0 for Fracture of first cervical vertebra
S12.00 for Unspecified fracture of first cervical vertebra
S12.01 for Stable burst fracture of first cervical vertebra
S12.02 for Unstable burst fracture of first cervical vertebra
S12.03 for Posterior arch fracture of first cervical vertebra
S12.04 for Lateral mass fracture of first cervical vertebra
S12.09 for Other fracture of first cervical vertebra
S12.1 for Fracture of second cervical vertebra
S12.10 for Unspecified fracture of second cervical vertebra
S12.11 for Type II dens fracture
S12.12 for Other dens fracture
S12.13 for Unspecified traumatic spondylolisthesis of second cervical vertebra
S12.14 for Type III traumatic spondylolisthesis of second cervical vertebra
S12.15 for Other traumatic spondylolisthesis of second cervical vertebra
S12.19 for Other fracture of second cervical vertebra
S12.2 for Fracture of third cervical vertebra
S12.20 for Unspecified fracture of third cervical vertebra
S12.23 for Unspecified traumatic spondylolisthesis of third cervical vertebra
S12.24 for Type III traumatic spondylolisthesis of third cervical vertebra
S12.25 for Other traumatic spondylolisthesis of third cervical vertebra
S12.29 for Other fracture of third cervical vertebra
S12.3 for Fracture of fourth cervical vertebra
S12.30 for Unspecified fracture of fourth cervical vertebra
S12.33 for Unspecified traumatic spondylolisthesis of fourth cervical vertebra
S12.34 for Type III traumatic spondylolisthesis of fourth cervical vertebra
S12.35 for Other traumatic spondylolisthesis of fourth cervical vertebra
S12.39 for Other fracture of fourth cervical vertebra
S12.4 for Fracture of fifth cervical vertebra
S12.40 for Unspecified fracture of fifth cervical vertebra
S12.43 for Unspecified traumatic spondylolisthesis of fifth cervical vertebra
S12.44 for Type III traumatic spondylolisthesis of fifth cervical vertebra
S12.45 for Other traumatic spondylolisthesis of fifth cervical vertebra
S12.49 for Other fracture of fifth cervical vertebra
S12.5 for Fracture of sixth cervical vertebra
S12.50 for Unspecified fracture of sixth cervical vertebra
S12.53 for Unspecified traumatic spondylolisthesis of sixth cervical vertebra
S12.54 for Type III traumatic spondylolisthesis of sixth cervical vertebra
S12.55 for Other traumatic spondylolisthesis of sixth cervical vertebra
S12.59 for Other fracture of sixth cervical vertebra
S12.6 for Fracture of seventh cervical vertebra
S12.60 for Unspecified fracture of seventh cervical vertebra
S12.63 for Unspecified traumatic spondylolisthesis of seventh cervical vertebra
S12.64 for Type III traumatic spondylolisthesis of seventh cervical vertebra
S12.65 for Other traumatic spondylolisthesis of seventh cervical vertebra
S12.69 for Other fracture of seventh cervical vertebra
S12.8 for Fracture of other parts of neck
S12.9 for Fracture of neck, unspecified
Coding GuidelinesGuidance
The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site, to the level of detail furnished by medical record content.
A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.
Initial vs. Subsequent Encounter for Fractures
Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) while the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.
Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.
Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N) or subsequent care with malunion (P, Q, R).
The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Includes
- fracture of cervical neural arch
- fracture of cervical spine
- fracture of cervical spinous process
- fracture of cervical transverse process
- fracture of cervical vertebral arch
- fracture of neck
Code First
7th Character Note
7th Character
- A - initial encounter for closed fracture
- B - initial encounter for open fracture
- D - subsequent encounter for fracture with routine healing
- G - subsequent encounter for fracture with delayed healing
- K - subsequent encounter for fracture with nonunion
- S - sequela
- A fracture not indicated as displaced or nondisplaced should be coded to displaced
- A fracture not indicated as open or closed should be coded to closed
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
Indicates that a seventh character is to be assigned to codes in a subcategory.
Patient EducationClinical
Fractures
A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.
The full article covers:
- What is a fracture?
- What are the different types of fractures?
- What causes fractures?
- What are the symptoms of a fracture?
- How are fractures diagnosed?
- What are the treatments for fractures?
- Can fractures be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About S12Overview
Is S12 (Fracture of cervical vertebra and other parts of neck) a billable code?
No. This is a category header that groups the codes for fracture of cervical vertebra and other parts of neck, and headers cannot be submitted on claims. Claims for fracture of cervical vertebra and other parts of neck need a more specific code from this category, such as S12.000A, S12.000B, and S12.000D.
