2020 ICD-10-CM Diagnosis Code S12.040K

Displaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with nonunion

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • S12.040K is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Displ lateral mass fx 1st cervcal vert, 7thK
  • The 2020 edition of ICD-10-CM S12.040K became effective on October 1, 2019.
  • This is the American ICD-10-CM version of S12.040K - other international versions of ICD-10 S12.040K may differ.
The following code(s) above S12.040K 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 S12.040K:
  • S00-T88
    2020 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
    2020 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
  • S12
    ICD-10-CM Diagnosis Code S12

    Fracture of cervical vertebra and other parts of neck

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • any associated cervical spinal cord injury (S14.0, S14.1-)
    Includes
    • 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
    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
    Fracture of cervical vertebra and other parts of neck
  • S12.0
    ICD-10-CM Diagnosis Code S12.0

    Fracture of first cervical vertebra

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Atlas
    Fracture of first cervical vertebra
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • S12.040K is considered exempt from POA reporting.
ICD-10-CM S12.040K is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 564 Other musculoskeletal system and connective tissue diagnoses with mcc
  • 565 Other musculoskeletal system and connective tissue diagnoses with cc
  • 566 Other musculoskeletal system and connective tissue diagnoses without cc/mcc

Convert S12.040K to ICD-9-CM

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
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To S12.040K
S12.031D …… subsequent encounter for fracture with routine healing
S12.031G …… subsequent encounter for fracture with delayed healing
S12.031K …… subsequent encounter for fracture with nonunion
S12.031S …… sequela
S12.04 Lateral mass fracture of first cervical vertebra
S12.040 Displaced lateral mass fracture of first cervical vertebra
S12.040A …… initial encounter for closed fracture
S12.040B …… initial encounter for open fracture
S12.040D …… subsequent encounter for fracture with routine healing
S12.040G …… subsequent encounter for fracture with delayed healing
S12.040K …… subsequent encounter for fracture with nonunion
S12.040S …… sequela
S12.041 Nondisplaced lateral mass fracture of first cervical vertebra
S12.041A …… initial encounter for closed fracture
S12.041B …… initial encounter for open fracture
S12.041D …… subsequent encounter for fracture with routine healing
S12.041G …… subsequent encounter for fracture with delayed healing
S12.041K …… subsequent encounter for fracture with nonunion
S12.041S …… sequela
S12.09 Other fracture of first cervical vertebra
S12.090 Other displaced 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.