2025 ICD-10-CM code S12.600G

Unspecified displaced fracture of the seventh cervical vertebra, subsequent encounter for delayed healing.

Follow official ICD-10-CM coding guidelines.Code first any associated spinal cord injury. Use additional codes to indicate the cause of injury (from Chapter 20) and any retained foreign body (Z18.-).

Not applicable to ICD-10 codes. Modifiers apply to CPT and HCPCS codes.

Medical necessity for this subsequent encounter is established by the documentation of delayed healing of the C7 fracture.Continued monitoring, additional imaging studies, or interventions are medically necessary based on the patient's ongoing symptoms and clinical findings.

The clinical responsibility involves diagnosing the fracture (often through imaging like X-rays, CT scans, or MRI), assessing neurological function, managing pain (possibly with analgesics, NSAIDs, or corticosteroids), and determining the appropriate treatment plan (which may include immobilization, traction, or surgery).

IMPORTANT Consider additional codes from Chapter 20 (External causes of morbidity) to specify the cause of injury.If a retained foreign body is present, use code from Z18.-

In simple words: This code is for a broken bone in the neck (7th vertebra) that hasn't healed properly, and it's a follow-up visit after the initial injury. The doctor doesn't specify the exact type of break.

This ICD-10-CM code signifies an unspecified displaced fracture of the seventh cervical vertebra during a subsequent encounter, specifically addressing delayed healing.The fracture is displaced, meaning the bone fragments are not aligned. This code is used when the specific type of fracture is not identified, and the patient is undergoing follow-up care due to complications in the healing process.

Example 1: A patient presents for a follow-up visit 6 weeks post-motor vehicle accident. Initial imaging showed a displaced fracture of C7.Healing is slower than expected and requires further monitoring., A patient who sustained a C7 fracture during a fall is seen for persistent neck pain and limited range of motion, indicating delayed healing 3 months post injury. Additional imaging is ordered., A patient presents with persistent radiculopathy (nerve pain) months after an initially treated C7 fracture despite conservative management, prompting a follow up visit to evaluate delayed union.

* Detailed patient history including mechanism of injury.* Physical examination findings focusing on neurological status and range of motion.* Imaging reports (X-rays, CT scan, MRI) documenting the fracture and displacement.* Documentation of previous treatment and progress notes.* Notes on pain management and any complications.

** This code is for subsequent encounters only; it should not be used for the initial encounter of a cervical fracture.The 7th character (G) specifies the delayed healing status.Detailed documentation is crucial for appropriate reimbursement.

  • Revenue Code: This will depend on the specific services provided during the encounter and the payer's coding conventions.
  • RVU: RVUs are not directly associated with ICD-10 codes. RVUs are associated with CPT codes which describe the procedures performed.
  • Global Days : Not applicable to ICD-10 codes. Global days are associated with surgical procedures coded with CPT codes.
  • Payment Status: Active
  • Modifier TC rule: Not applicable to ICD-10 codes. TC modifiers apply to CPT codes.
  • Fee Schedule : Not applicable to ICD-10 codes. Fee schedules are associated with CPT and HCPCS codes.
  • Specialties:Orthopedic Surgery, Neurosurgery, Emergency Medicine
  • Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Emergency Room - Hospital
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