Type III traum spondylolysis of fourth cervcal vert, init

This code signifies a traumatic anterior displacement of the C4 vertebral body on C5, specifically a Type III spondylolisthesis, which involves bilateral pedicle or pars interarticularis fractures. This injury is typically severe and results from high-energy trauma, often leading to spinal instability. The "initial encounter" indicates the patient is receiving active treatment for this newly diagnosed closed fracture.

Use this code for patients presenting with a newly diagnosed, closed traumatic spondylolisthesis at the C4-C5 level, classified as Type III. Documentation should clearly specify the C4 vertebra, the Type III classification (often referring to bilateral pedicle/pars fractures), and confirm that the skin overlying the fracture is intact. This code is appropriate for the initial phase of care, including emergency department visits, initial hospital admissions, and surgical interventions.

• Ensure the documentation explicitly states "Type III" spondylolisthesis and identifies the C4 vertebra as the affected level.
• Verify that the fracture is closed; an open fracture would require a different 7th character.
• Remember to append additional codes for any associated neurological deficits or other injuries.