Wedge compression fracture of T11-T12 vertebra, sequela

This code describes a wedge compression fracture affecting the T11 and T12 vertebrae, specifically when the patient is presenting for treatment of a sequela (late effect or complication) of the original fracture. A wedge compression fracture typically involves the anterior portion of the vertebral body collapsing, creating a wedge shape.

This code is appropriate when a patient is being treated for long-term complications or residual conditions directly resulting from a past wedge compression fracture of the T11-T12 vertebrae. Examples include chronic pain, kyphosis, or neurological deficits that are a direct consequence of the healed or previously treated fracture. It should not be used for the initial encounter or active treatment of the acute fracture.

• Always sequence this sequela code after the code for the specific sequela being treated (e.g., chronic pain, kyphosis).
• Ensure documentation clearly links the current condition to the previous T11-T12 wedge compression fracture.
• Verify that the encounter is for a late effect and not for active treatment of the acute or subacute fracture.