Stable burst fracture of first thoracic vertebra, sequela

This code signifies a healed or chronic burst fracture of the first thoracic vertebra that is no longer acutely unstable. "Stable" indicates that the vertebral body has maintained its integrity and there is no ongoing risk of spinal cord compression or further collapse from the original injury. "Sequela" denotes that this is a late effect or complication of the initial fracture, not an acute injury.

Use this code for patients presenting with chronic symptoms, pain, or imaging findings related to a previously sustained burst fracture of T1 that has stabilized. It is appropriate when the acute phase of the injury has passed and the patient is being treated for long-term effects or for follow-up of the healed fracture. This code would also apply for documentation of a past medical history of such an injury.

• Ensure documentation clearly states the fracture is stable and not acute.
• Verify the fracture location is specifically the first thoracic vertebra (T1).
• Do not use this code for acute or unstable burst fractures; those require different codes.