Stable burst fx T11-T12 vertebra, subs for fx w delay heal

This code indicates a stable burst fracture affecting the T11 or T12 thoracic vertebrae. "Stable" implies the spinal column's integrity is largely maintained, reducing the risk of neurological compromise. "Delayed healing" signifies that the fracture is not progressing to union at the expected rate.

This code is appropriate for follow-up encounters where a patient with a previously diagnosed stable burst fracture of the lower thoracic spine (T11-T12) is being monitored for healing, and the healing process is slower than anticipated. It would be used when the patient is still receiving active treatment or evaluation for the fracture's delayed union.

• Ensure documentation explicitly states "stable burst fracture" and specifies T11 or T12.
• The "G" seventh character indicates a subsequent encounter for a fracture with delayed healing.
• Differentiate from nonunion (K) or routine healing (D) based on provider documentation.