S12.54XG
ICD-10-CMType III traumatic spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with delayed healing
This code signifies a specific type of cervical spine fracture involving the sixth cervical vertebra, where the vertebra has slipped forward (spondylolisthesis) due to trauma. It specifically identifies a Type III traumatic spondylolisthesis, indicating a bilateral pedicle fracture. The "subsequent encounter" designation means the patient is receiving follow-up care for this fracture, and "delayed healing" indicates the fracture is not progressing to union at the expected rate.
Apply this code when a patient presents for ongoing treatment of a Type III traumatic spondylolisthesis of the C6 vertebra, and documentation explicitly states that the fracture healing is delayed. This would include scenarios like follow-up imaging showing persistent fracture lines, or clinical assessment indicating non-union or slow callus formation. Documentation must clearly specify the cervical level (C6), the type of spondylolisthesis (Type III traumatic), and the delayed healing status.
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