ICD-10 Coding for C2 Fracture(S12.111A, S12.112A)
Complete ICD-10-CM coding and documentation guide for C2 Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to C2 Fracture
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S12.111A | Posterior displaced Type II dens fracture, initial encounter | Use when a Type II dens fracture is confirmed with posterior displacement during the initial encounter. |
|
| S12.112A | Nondisplaced Type II dens fracture, initial encounter | Use when a Type II dens fracture is confirmed without displacement during the initial encounter. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for C2 fracture
Essential facts and insights about C2 Fracture
Primary ICD-10-CM Codes for c2 fracture
Decision Criteria
clinical Criteria
- CT confirmation of posterior displacement
documentation Criteria
- Initial encounter documentation
Applicable To
- Type II odontoid fracture
Excludes
- Atlantoaxial dislocation without fracture (S13.1-)
Clinical Validation Requirements
- CT showing posterior displacement
- Neurological exam findings
Code-Specific Risks
- Incorrectly coding as unspecified fracture
Coding Notes
- Ensure displacement and encounter type are documented.
S12.112A - Nondisplaced Type II dens fracture, initial encounter
Use when a Type II dens fracture is confirmed without displacement during the initial encounter.
Applicable To
- Type II odontoid fracture without displacement
Excludes
- Spinal cord injury at C2 level (S14.1-)
Clinical Validation Requirements
- CT confirming nondisplacement
- Absence of myelopathy
Coding Notes
Document nondisplacement and initial encounter clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting C2 Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S12.111A.
Impact
Clinical: Impacts continuity of care, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims
Mitigation Strategy
Always document whether the encounter is initial or subsequent
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Use specific codes (e.g., S12.111A) based on fracture type and displacement.
Impact
Failure to document displacement can lead to incorrect coding.
Mitigation Strategy
Implement mandatory CT review for all C2 fracture cases.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for C2 Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for C2 Fracture
Use these documentation templates to ensure complete and accurate documentation for C2 Fracture. These templates include all required elements for proper coding and billing.
Emergency Department Visit for C2 Fracture
Specialty: Emergency MedicineRequired Elements
- Mechanism of injury
- Imaging results
- Neurological assessment
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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