2021 ICD-10-CM Code S12.04

Lateral mass fracture of first cervical vertebra

Version 2021
Non-Billable Code

Not Valid for Submission

S12.04 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of lateral mass fracture of first cervical vertebra. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

ICD-10:S12.04
Short Description:Lateral mass fracture of first cervical vertebra
Long Description:Lateral mass fracture of first cervical vertebra

Code Classification

Specific Coding for Lateral mass fracture of first cervical vertebra

Header codes like S12.04 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for lateral mass fracture of first cervical vertebra:

  • S12.040 - Displaced lateral mass fracture of first cervical vertebra
  • S12.040A - Displaced lateral mass fracture of first cervical vertebra, initial encounter for closed fracture
  • S12.040B - Displaced lateral mass fracture of first cervical vertebra, initial encounter for open fracture
  • S12.040D - Displaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
  • S12.040G - Displaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
  • S12.040K - Displaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
  • S12.040S - Displaced lateral mass fracture of first cervical vertebra, sequela
  • S12.041 - Nondisplaced lateral mass fracture of first cervical vertebra
  • S12.041A - Nondisplaced lateral mass fracture of first cervical vertebra, initial encounter for closed fracture
  • S12.041B - Nondisplaced lateral mass fracture of first cervical vertebra, initial encounter for open fracture
  • S12.041D - Nondisplaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
  • S12.041G - Nondisplaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
  • S12.041K - Nondisplaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
  • S12.041S - Nondisplaced lateral mass fracture of first cervical vertebra, sequela

Information for Patients


Fractures

Also called: Broken bone

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Neck Injuries and Disorders

Any part of your neck - muscles, bones, joints, tendons, ligaments, or nerves - can cause neck problems. Neck pain is very common. Pain may also come from your shoulder, jaw, head, or upper arms.

Muscle strain or tension often causes neck pain. The problem is usually overuse, such as from sitting at a computer for too long. Sometimes you can strain your neck muscles from sleeping in an awkward position or overdoing it during exercise. Falls or accidents, including car accidents, are another common cause of neck pain. Whiplash, a soft tissue injury to the neck, is also called neck sprain or strain.

Treatment depends on the cause, but may include applying ice, taking pain relievers, getting physical therapy or wearing a cervical collar. You rarely need surgery.


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)