S12.101B
ICD-10-CMUnspecified nondisplaced fracture of second cervical vertebra, initial encounter for open fracture
This code signifies a fracture of the second cervical vertebra (C2) that is not displaced, meaning the bone fragments are still in their normal anatomical alignment. The "unspecified" nature indicates that the specific type of C2 fracture (e.g., odontoid, hangman's) is not documented. This particular instance involves an open fracture, where the skin and soft tissue have been broken, exposing the bone.
Use this code for the initial encounter of a patient presenting with an open, nondisplaced fracture of the C2 vertebra when the specific type of C2 fracture is not documented by the provider. Documentation should clearly state "open fracture," "nondisplaced," and "second cervical vertebra" or "C2." This code is appropriate when the patient is receiving active treatment for the fracture.
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