Wedge comprsn fx second thor vert, subs for fx w nonunion

This code describes a specific type of spinal fracture affecting the second thoracic vertebra, where the front part of the bone has collapsed into a wedge shape. Importantly, this code is used when the fracture has not healed properly (nonunion) and the patient is being seen for follow-up care related to this ongoing issue.

Use this code for patients presenting for subsequent treatment, evaluation, or management of a previously diagnosed wedge compression fracture of the T2 vertebra that has failed to unite. This includes scenarios where surgical intervention for nonunion is being planned, or conservative management for the nonunion is ongoing.

• Ensure documentation clearly states "nonunion" and specifies the second thoracic vertebra (T2).
• Verify that the encounter is for follow-up care of the fracture, not the initial treatment.
• Always sequence this code after any acute fracture codes if the nonunion is a complication of a current injury.