2021 ICD-10-CM Code S12.2

Fracture of third cervical vertebra

Version 2021

Not Valid for Submission

S12.2 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of third cervical vertebra. The code is not specific and 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:S12.2
Short Description:Fracture of third cervical vertebra
Long Description:Fracture of third cervical vertebra

Code Classification

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd 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) for each encounter where 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).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

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).

Specific Coding for Fracture of third cervical vertebra

Non-specific codes like S12.2 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 fracture of third cervical vertebra:

  • NON-BILLABLE CODE - S12.20 for Unspecified fracture of third cervical vertebra
  • NON-BILLABLE CODE - S12.200 for Unspecified displaced fracture of third cervical vertebra
  • BILLABLE CODE - Use S12.200A for initial encounter for closed fracture
  • BILLABLE CODE - Use S12.200B for initial encounter for open fracture
  • BILLABLE CODE - Use S12.200D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S12.200G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S12.200K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S12.200S for sequela
  • NON-BILLABLE CODE - S12.201 for Unspecified nondisplaced fracture of third cervical vertebra
  • BILLABLE CODE - Use S12.201A for initial encounter for closed fracture
  • BILLABLE CODE - Use S12.201B for initial encounter for open fracture
  • BILLABLE CODE - Use S12.201D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S12.201G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S12.201K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S12.201S for sequela
  • NON-BILLABLE CODE - S12.23 for Unspecified traumatic spondylolisthesis of third cervical vertebra
  • NON-BILLABLE CODE - S12.230 for Unspecified traumatic displaced spondylolisthesis of third cervical vertebra
  • BILLABLE CODE - Use S12.230A for initial encounter for closed fracture
  • BILLABLE CODE - Use S12.230B for initial encounter for open fracture
  • BILLABLE CODE - Use S12.230D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S12.230G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S12.230K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S12.230S for sequela
  • NON-BILLABLE CODE - S12.231 for Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra
  • BILLABLE CODE - Use S12.231A for initial encounter for closed fracture
  • BILLABLE CODE - Use S12.231B for initial encounter for open fracture
  • BILLABLE CODE - Use S12.231D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S12.231G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S12.231K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S12.231S for sequela
  • NON-BILLABLE CODE - S12.24 for Type III traumatic spondylolisthesis of third cervical vertebra
  • BILLABLE CODE - Use S12.24XA for initial encounter for closed fracture
  • BILLABLE CODE - Use S12.24XB for initial encounter for open fracture
  • BILLABLE CODE - Use S12.24XD for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S12.24XG for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S12.24XK for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S12.24XS for sequela
  • NON-BILLABLE CODE - S12.25 for Other traumatic spondylolisthesis of third cervical vertebra
  • NON-BILLABLE CODE - S12.250 for Other traumatic displaced spondylolisthesis of third cervical vertebra
  • BILLABLE CODE - Use S12.250A for initial encounter for closed fracture
  • BILLABLE CODE - Use S12.250B for initial encounter for open fracture
  • BILLABLE CODE - Use S12.250D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S12.250G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S12.250K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S12.250S for sequela
  • NON-BILLABLE CODE - S12.251 for Other traumatic nondisplaced spondylolisthesis of third cervical vertebra
  • BILLABLE CODE - Use S12.251A for initial encounter for closed fracture
  • BILLABLE CODE - Use S12.251B for initial encounter for open fracture
  • BILLABLE CODE - Use S12.251D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S12.251G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S12.251K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S12.251S for sequela
  • NON-BILLABLE CODE - S12.29 for Other fracture of third cervical vertebra
  • NON-BILLABLE CODE - S12.290 for Other displaced fracture of third cervical vertebra
  • BILLABLE CODE - Use S12.290A for initial encounter for closed fracture
  • BILLABLE CODE - Use S12.290B for initial encounter for open fracture
  • BILLABLE CODE - Use S12.290D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S12.290G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S12.290K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S12.290S for sequela
  • NON-BILLABLE CODE - S12.291 for Other nondisplaced fracture of third cervical vertebra
  • BILLABLE CODE - Use S12.291A for initial encounter for closed fracture
  • BILLABLE CODE - Use S12.291B for initial encounter for open fracture
  • BILLABLE CODE - Use S12.291D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S12.291G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S12.291K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S12.291S for 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)