S12.01XB
ICD-10-CMStable burst fracture of first cervical vertebra, initial encounter for open fracture
This code signifies a stable burst fracture affecting the C1 vertebra, which is the uppermost bone in the neck. A burst fracture indicates a comminuted fracture where the vertebral body is crushed in multiple directions, often with posterior displacement of bone fragments into the spinal canal. "Stable" implies that the fracture does not immediately threaten spinal cord integrity or cause significant instability.
Apply this code for an initial encounter when documentation clearly states a stable burst fracture of the C1 vertebra, and the fracture is explicitly described as "open." This typically occurs following high-energy trauma such as falls or motor vehicle accidents. Documentation must specify the "open" nature of the fracture, indicating a break in the skin or mucous membrane that exposes the bone.
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