2019 ICD-10-CM Diagnosis Code S12

Fracture of cervical vertebra and other parts of neck

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • S12 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM S12 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of S12 - other international versions of ICD-10 S12 may differ.
Note
  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • any associated cervical spinal cord injury (
    ICD-10-CM Diagnosis Code S14.0

    Concussion and edema of cervical spinal cord

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    S14.0
    ,
    ICD-10-CM Diagnosis Code S14.1

    Other and unspecified injuries of cervical spinal cord

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    S14.1-
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • fracture of cervical neural arch
  • fracture of cervical spine
  • fracture of cervical spinous process
  • fracture of cervical transverse process
  • fracture of cervical vertebral arch
  • fracture of neck
The following code(s) above S12 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to S12:
  • S00-T88
    2019 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • S10-S19
    2019 ICD-10-CM Range S10-S19

    Injuries to the neck

    Includes
    • injuries of nape
    • injuries of supraclavicular region
    • injuries of throat
    Type 2 Excludes
    • burns and corrosions (T20-T32)
    • effects of foreign body in esophagus (T18.1)
    • effects of foreign body in larynx (T17.3)
    • effects of foreign body in pharynx (T17.2)
    • effects of foreign body in trachea (T17.4)
    • frostbite (T33-T34)
    • insect bite or sting, venomous (T63.4)
    Injuries to the neck
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to S12:
  • Type 1 Excludes: M48.5
    , M84.3
    , M84.4
    ICD-10-CM Diagnosis Code M48.5

    Collapsed vertebra, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Collapsed vertebra NOS
    • Compression fracture of vertebra NOS
    • Wedging of vertebra NOS
    Type 1 Excludes
    • current injury - see Injury of spine, by body region
    • fatigue fracture of vertebra (M48.4)
    • pathological fracture of vertebra due to neoplasm (M84.58)
    • pathological fracture of vertebra due to other diagnosis (M84.68)
    • pathological fracture of vertebra due to osteoporosis (M80.-)
    • pathological fracture NOS (M84.4-)
    • stress fracture of vertebra (M48.4-)
    • traumatic fracture of vertebra (S12.-, S22.-, S32.-)
    ICD-10-CM Diagnosis Code M84.3

    Stress fracture

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Fatigue fracture
    • March fracture
    • Stress fracture NOS
    • Stress reaction
    Type 1 Excludes
    Type 2 Excludes
    • personal history of (healed) stress (fatigue) fracture (Z87.312)
    • stress fracture of vertebra (M48.4-)
    Use Additional
    • external cause code(s) to identify the cause of the stress fracture
    ICD-10-CM Diagnosis Code M84.4

    Pathological fracture, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Chronic fracture
    • Pathological fracture NOS
    Type 1 Excludes
    Type 2 Excludes
    • personal history of (healed) pathological fracture (Z87.311)
  • Type 2 Excludes: S11
    ICD-10-CM Diagnosis Code S11

    Open wound of neck

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code Also
    • any associated:
    • spinal cord injury (S14.0, S14.1-)
    • wound infection
    Type 2 Excludes
    • open fracture of vertebra (S12.- with 7th character B)
ICD-10-CM Codes Adjacent To S12
S11.93XD …… subsequent encounter
S11.93XS …… sequela
S11.94 Puncture wound with foreign body of unspecified part of neck
S11.94XA …… initial encounter
S11.94XD …… subsequent encounter
S11.94XS …… sequela
S11.95 Open bite of unspecified part of neck
S11.95XA …… initial encounter
S11.95XD …… subsequent encounter
S11.95XS …… sequela
S12 Fracture of cervical vertebra and other parts of neck
S12.0 Fracture of first cervical vertebra
S12.00 Unspecified fracture of first cervical vertebra
S12.000 Unspecified displaced fracture of first cervical vertebra
S12.000A …… initial encounter for closed fracture
S12.000B …… initial encounter for open fracture
S12.000D …… subsequent encounter for fracture with routine healing
S12.000G …… subsequent encounter for fracture with delayed healing
S12.000K …… subsequent encounter for fracture with nonunion
S12.000S …… sequela
S12.001 Unspecified nondisplaced fracture of first cervical vertebra

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.