Collapsed vertebra, NEC, lumbosacral region, sqla

This code signifies a vertebral body that has collapsed in the lumbosacral region, specifically as a long-term consequence of a prior fracture. This collapse is not due to acute trauma or other specified conditions like osteoporosis or malignancy. It represents a chronic structural change resulting from a past injury.

Use this code when documentation clearly indicates a collapsed vertebra in the lumbar or sacral spine that is a sequela of a previously healed fracture. This applies to patients presenting with chronic pain, deformity, or neurological symptoms directly attributable to the old fracture's lasting impact. Documentation should specify "sequela of fracture" or similar phrasing indicating a remote event.

• Ensure the documentation explicitly states the collapsed vertebra is a sequela of a fracture, not an acute fracture.
• Do not use this code for collapsed vertebrae due to osteoporosis (M80.-) or pathological fractures (M84.5-).
• Sequence this code after the acute fracture code if the patient is still being treated for the initial injury, or as a primary diagnosis if the sequela is the focus of the encounter.