S12.001B
ICD-10-CMUnspecified nondisplaced fracture of first cervical vertebra, initial encounter for open fracture
This code signifies a fracture of the C1 vertebra (atlas) that is not displaced, meaning the bone fragments remain in their normal anatomical alignment. The "unspecified" nature indicates that the specific type of C1 fracture (e.g., Jefferson, anterior arch) is not documented. This code is for the initial treatment of an open fracture, where the skin and soft tissues are compromised, exposing the bone.
Use this code when documentation clearly states an "unspecified nondisplaced fracture of the first cervical vertebra" and specifies that it is an "open fracture" and the patient is in the "initial encounter" phase of treatment. This would typically be seen in emergency department or acute care settings following trauma. Supporting documentation would include imaging reports (X-ray, CT) confirming the C1 fracture and clinical notes describing the open nature of the injury.
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