Stable burst fracture of first cervical vertebra, init

This code signifies a stable fracture of the C1 vertebra (atlas) where the bone is broken in multiple places, but the spinal column remains aligned and there is no significant displacement or neurological compromise. It specifically refers to an initial encounter for a closed fracture, meaning the skin is intact over the injury site.

Apply this code for a patient presenting for the first time with a newly diagnosed stable burst fracture of the C1 vertebra, confirmed by imaging (e.g., X-ray, CT scan). Documentation should clearly state "stable burst fracture," "C1," and "closed fracture," along with the "initial encounter" for treatment.

• Ensure documentation specifies "stable" to differentiate from unstable burst fractures.
• Verify the encounter is indeed the "initial" one for this specific injury. Subsequent care would use a different seventh character.
• Confirm the fracture is "closed"; open fractures have distinct coding.