Fatigue fx vertebra, thrclm region, subs for fx w routn heal

This code signifies a stress fracture of a vertebral body located in the thoracolumbar spine (T11-L2), where the patient is receiving follow-up care for a fracture that is healing normally. These fractures typically result from repetitive stress rather than acute trauma, often seen in individuals with osteoporosis or those engaged in strenuous activities.

Use this code for patients presenting for routine follow-up appointments for a previously diagnosed fatigue fracture of a thoracolumbar vertebra that is progressing as expected towards healing. Documentation should clearly indicate "subsequent encounter" and describe the fracture as healing routinely, without complications or delayed union.

• Ensure documentation specifies "fatigue fracture" or "stress fracture" and not a traumatic vertebral fracture.
• Verify the specific vertebral region is thoracolumbar; other spinal regions have different codes.
• Confirm the encounter is for routine follow-up of a healing fracture, not initial treatment or treatment of complications.