2025 ICD-10-CM code S12.600A

Displaced fracture of the seventh cervical vertebra, initial encounter, closed fracture.

Use secondary code(s) from Chapter 20 (External causes of morbidity) to indicate the cause of injury.If a foreign body is retained, use additional code Z18.-

Medical necessity is established by the presence of a displaced fracture causing pain, limited range of motion, and/or neurological symptoms. The documentation must support the need for the chosen treatment to restore function and alleviate symptoms.

Diagnosis and treatment are based on patient history, physical exam of the cervical spine and extremities, nerve function assessment, and imaging (X-rays, CT, MRI). Treatment includes cervical collar, traction, pain medication (analgesics, NSAIDs, corticosteroids), and possibly surgery to relieve spinal cord pressure.

In simple words: A displaced fracture in the neck (seventh vertebra) where the broken pieces aren't lined up correctly, and the skin isn't broken. This is for the first time you see a doctor for this injury.

Unspecified displaced fracture of seventh cervical vertebra, initial encounter for closed fracture.This code describes a fracture where the bone fragments are out of their normal alignment and the skin is not broken. It is used for the initial encounter with the healthcare system for this injury.

Example 1: A patient falls from a ladder and presents to the emergency room with neck pain and limited range of motion. Imaging reveals a displaced fracture of the C7 vertebra with no open wound., A patient is involved in a motor vehicle accident and experiences neck pain radiating to the shoulders and arms. Examination and imaging show a closed, displaced fracture of the seventh cervical vertebra., A football player sustains a neck injury during a game and reports numbness and tingling in their arms. A closed, displaced fracture of the C7 vertebra is confirmed through diagnostic tests.

Documentation should include details of the injury mechanism, physical examination findings (including neurological assessment), imaging results confirming the displaced fracture, and absence of skin breakage. Treatment plan should be documented.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.