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2025 ICD-10-CM code S22.061

Stable burst fracture of the T7-T8 thoracic vertebra.

Use secondary codes from Chapter 20 (External causes of morbidity) to indicate the cause of injury. Use additional code Z18.- if there is a retained foreign body. Do not use this code for birth trauma (P10-P15) or obstetric trauma (O70-O71).

Medical necessity is established by the presence of a fracture confirmed through imaging. Treatment is necessary to manage pain, prevent further injury, and restore function.

In simple words: A stable burst fracture means the bones in your upper back, specifically the 7th and 8th vertebrae, have been broken due to a strong force like a car crash or fall. While broken, the bones are still mostly in place and haven't damaged your spinal cord or the canal it's in.

A stable burst fracture of the T7-T8 thoracic vertebra is a break in the bony segment of the thoracic spine between the seventh and eighth thoracic vertebrae. This injury occurs due to severe, high-impact trauma, such as a motor vehicle accident or a fall from a height, where the vertebra is crushed, resulting in loss of height in both the front and back of the vertebra. The fracture is considered "stable" because there is no associated neurological injury and minimal spinal canal compromise.

Example 1: A patient falls from a ladder and lands on their feet, resulting in a stable burst fracture of the T7-T8 vertebrae confirmed by CT scan., A driver is involved in a head-on collision and suffers a stable burst fracture of the T7-T8 vertebrae along with other injuries., An elderly patient with osteoporosis falls from standing height and sustains a stable burst fracture of the T7-T8 vertebra.

Documentation should include the type of fracture (burst), whether it's stable or unstable, the specific location (T7-T8), any neurological involvement, and the mechanism of injury. Imaging reports (X-ray, CT, MRI) confirming the fracture and its stability are essential.

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