S12.131B
ICD-10-CMUnspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for open fracture
This code signifies a traumatic injury to the second cervical vertebra (C2) resulting in a nondisplaced spondylolisthesis, meaning a forward slippage of the vertebral body without significant displacement. The fracture is open, indicating a break in the skin or mucous membrane communicating with the fracture site. This is the initial encounter for treatment of this specific injury.
Use this code for a patient presenting for the first time with an open, traumatic, nondisplaced spondylolisthesis of the C2 vertebra. Documentation must clearly state the traumatic nature of the injury, the specific vertebra involved (C2), the nondisplaced nature of the spondylolisthesis, and that the fracture is open. This code is appropriate for the initial phase of active treatment.
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