2025 ICD-10-CM code S12.601G

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

Code first any associated spinal cord injury (S14.-) and any retained foreign body (Z18.-).Use this code only for subsequent encounters for delayed healing following an initial encounter for a nondisplaced fracture of the seventh cervical vertebra.

Medical necessity is established by the presence of a nondisplaced fracture of the seventh cervical vertebra with delayed healing.The need for further treatment, such as physical therapy, medication adjustments, or surgery, should be clinically justified in the documentation.

Diagnosis involves patient history, physical examination (assessing range of motion, neurological function, presence of swelling, pain), and imaging studies (X-rays, CT scans, MRI). Treatment can range from conservative measures (cervical collar, analgesics, NSAIDs) to surgical intervention (depending on the severity and potential complications, such as spinal cord compression).

IMPORTANT Related codes may include initial encounter codes (S12.601A, S12.601B) for this fracture, codes indicating other types of fractures of the seventh cervical vertebra (e.g., displaced fractures), and codes for complications or sequelae related to the fracture.Always use additional codes to specify any associated spinal cord injury (S14.-) and any retained foreign body (Z18.-) if applicable.

In simple words: This code is used when someone has broken their seventh cervical vertebra (one of the bones in their neck), and the break wasn't severe enough to move the bone out of place.This visit to the doctor is a follow-up visit because the bone is healing slower than expected.

This ICD-10-CM code signifies a subsequent encounter for an unspecified, nondisplaced fracture of the seventh cervical vertebra where healing is delayed.It indicates that a previous fracture of the seventh cervical vertebra, which was not displaced, is still not fully healed at the time of this encounter. The specific type of fracture is not specified.This code should be used only after an initial encounter code (such as S12.601A or S12.601B) has been used for the initial diagnosis of the fracture.

Example 1: A 45-year-old male patient presents for a follow-up visit after a fall resulting in an nondisplaced fracture of his C7 vertebra.Initial fracture healing is slow.S12.601G is assigned., A 22-year-old female patient involved in a motor vehicle accident sustained a nondisplaced fracture of her C7 vertebra.At the 3-month follow-up visit, it's noted that there is delayed healing. S12.601G is coded, along with any relevant codes for spinal cord injury or nerve damage if present., A 60-year-old patient had an initial encounter with a C7 nondisplaced fracture (coded as S12.601A) and presented again with persistent pain and delayed bone healing.S12.601G is appropriate for this subsequent visit.

Detailed patient history including mechanism of injury, physical examination notes documenting neurological status and range of motion, imaging reports (X-rays, CT scans, MRI) showing the fracture and its healing progress.

** This code is specific to a subsequent encounter for delayed healing.Ensure proper documentation supports the diagnosis and the need for this encounter.Consider additional codes for associated injuries and complications.

  • Payment Status: Active
  • Specialties:Orthopedic Surgery, Neurosurgery
  • Place of Service:Office, Hospital Inpatient, Hospital Outpatient
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