Fatigue fracture of vertebra, thoracolumbar region, init

This code signifies a stress fracture of a vertebral body located in the thoracolumbar spine (T11-L2 region) that has occurred due to repetitive or excessive mechanical stress rather than acute trauma. It represents the initial episode of care for this specific type of vertebral fracture.

Apply this code when documentation clearly indicates a fatigue fracture of a thoracolumbar vertebra, often seen in athletes, military personnel, or individuals with underlying bone density issues undergoing repetitive spinal loading. Supporting documentation should include imaging reports (e.g., MRI, CT) confirming a stress fracture and a physician's note specifying the thoracolumbar region and the initial encounter for treatment.

• Ensure the documentation explicitly states "fatigue fracture" or "stress fracture" of the vertebra, not a traumatic fracture.
• Verify the fracture location is specifically within the thoracolumbar region (T11-L2).
• Confirm this is the patient's initial encounter for this specific fracture; subsequent encounters will require a different seventh character.