LCD Reference Article Billing and Coding Article

Billing and Coding: Cervical Fusion

A59634

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Contractor Information

Contractor Name	Contract Type	Contract Number	Jurisdiction	States
Palmetto GBA	A and B MAC	10111 - MAC A	J - J	Alabama
Palmetto GBA	A and B MAC	10112 - MAC B	J - J	Alabama
Palmetto GBA	A and B MAC	10211 - MAC A	J - J	Georgia
Palmetto GBA	A and B MAC	10212 - MAC B	J - J	Georgia
Palmetto GBA	A and B MAC	10311 - MAC A	J - J	Tennessee
Palmetto GBA	A and B MAC	10312 - MAC B	J - J	Tennessee
Palmetto GBA	A and B and HHH MAC	11201 - MAC A	J - M	South Carolina
Palmetto GBA	A and B and HHH MAC	11202 - MAC B	J - M	South Carolina
Palmetto GBA	A and B and HHH MAC	11301 - MAC A	J - M	Virginia
Palmetto GBA	A and B and HHH MAC	11302 - MAC B	J - M	Virginia
Palmetto GBA	A and B and HHH MAC	11401 - MAC A	J - M	West Virginia
Palmetto GBA	A and B and HHH MAC	11402 - MAC B	J - M	West Virginia
Palmetto GBA	A and B and HHH MAC	11501 - MAC A	J - M	North Carolina
Palmetto GBA	A and B and HHH MAC	11502 - MAC B	J - M	North Carolina

Article Information

General Information

Article ID
A59634

Article Title
Billing and Coding: Cervical Fusion

Article Type
Billing and Coding

Original Effective Date
07/07/2024

Revision Effective Date
09/26/2024

Revision Ending Date
N/A

Retirement Date
N/A

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Copyright © 2024, the American Hospital Association, Chicago, Illinois. Reproduced with permission. No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. AHA copyrighted materials including the UB‐04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution, or derivative work without the written consent of the AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816.

Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.

CMS National Coverage Policy

Title XVIII of the Social Security Act, §1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.

CMS Internet-Only Manual, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 16, §180 Services Related to and Required as a Result of Services Which Are Not Covered Under Medicare.

Article Guidance

Article Text

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Cervical Fusion L39773. Refer to the LCD for reasonable and necessary requirements and frequency limitations.

The Current Procedural Terminology (CPT^®) codes included in this article may be subject to National Correct Coding Initiative (NCCI) edits or Outpatient Prospective Payment System (OPPS) packaging edits. Please refer to the NCCI requirements.

Coding Guidance

Providers should refer to the applicable American Medical Association (AMA) CPT^® Manual to assist with proper reporting of these services.

Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. When billing for non-covered services, use the appropriate modifier.

This LCD applies only to cervical fusion and related procedures and does not apply to other joint procedures (such as facet, sacroiliitis, epidural or other spinal procedures).

General Guidelines for Claims Submitted to Part A or Part B MAC:

Procedure codes may be subject to NCCI edits or OPPS packaging edits. Refer to NCCI and OPPS requirements prior to billing Medicare. For services requiring a referring/ordering physician, the name and NPI of the referring/ordering physician must be reported on the claim. A claim submitted without a valid ICD-10-CM diagnosis code will be returned to the provider as an incomplete claim under Section 1833(e) of the Social Security Act. The diagnosis code(s) must best describe the patient's condition for which the service was performed. For diagnostic tests, report the result of the test if known; otherwise, the symptoms prompting the performance of the test should be reported.

Modifier	When to Use Modifier
–GA Waiver of Liability Statement Issued as Required by Payer Policy, Individual Case	Report when you issue a mandatory Advance Beneficiary Notice (ABN) for a service as required and keep it on file. You don’t need to submit a copy of the ABN, but you must make it available on request. Use the –GA modifier when both covered and non-covered services appear on an ABN-related claim.
–GX Notice of Liability Issued, Voluntary Under Payer Policy	Report when you issue a voluntary ABN for a service we never cover because it’s statutorily excluded or isn’t a Medicare benefit. Use this modifier combined with modifier –GY.
–GY Notice of Liability Not Issued, Not Required Under Payer Policy	Report Medicare statutorily excludes the item or service, or the item or service doesn’t meet the definition of a Medicare benefit.
–GZ Expect Item or Service Denied as Not Reasonable and Necessary	Report when you expect we’ll deny payment of the item or service because it’s medically unnecessary and you didn’t issue an ABN.

Documentation Requirements

All documentation must be maintained in the patient's medical record and made available to the contractor upon request.
Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient.
The submitted medical record must support the use of the selected ICD-10-CM code(s). The submitted CPT/HCPCS code must describe the service performed.

The operative note should include the procedure performed and any associated/additional procedures performed at the same time.

The patient’s medical record should include, but is not limited to:
- The assessment of the patient by the performing provider as it relates to the complaint of the patient for that visit
- Relevant medical history
- Results of pertinent tests/procedures
- Signed and dated office visit record/operative report (Please note that all services ordered or rendered to Medicare beneficiaries must be signed.)
- Documentation to support the medical necessity of the procedure(s)

Use of Biologicals

There are currently no FDA approved biologicals to be injected into the joint at the time of surgery. The inclusion of biological and/or other non-FDA approved substances in the injectant will result in denial of the entire claim based on Medicare Benefit Policy Manual, Chapter 16, Section 180. Amniotic and placenta derived injectants, amino acids, vitamins, and platelet rich plasma fall in this category.

Response To Comments

Number	Comment	Response
1

Coding Information

Bill Type Codes

Code	Description
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Revenue Codes

Code	Description
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CPT/HCPCS Codes

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CPT/HCPCS Modifiers

N/A

ICD-10-CM Codes that Support Medical Necessity

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Group 1

(501 Codes)

Group 1 Paragraph

N/A

Group 1 Codes

Code	Description
C41.2	Malignant neoplasm of vertebral column
G06.1	Intraspinal abscess and granuloma
M06.88	Other specified rheumatoid arthritis, vertebrae
M40.03	Postural kyphosis, cervicothoracic region
M40.12	Other secondary kyphosis, cervical region
M40.202	Unspecified kyphosis, cervical region
M40.292	Other kyphosis, cervical region
M41.22	Other idiopathic scoliosis, cervical region
M43.12	Spondylolisthesis, cervical region
M43.13	Spondylolisthesis, cervicothoracic region
M46.21	Osteomyelitis of vertebra, occipito-atlanto-axial region
M46.22	Osteomyelitis of vertebra, cervical region
M46.23	Osteomyelitis of vertebra, cervicothoracic region
M46.31	Infection of intervertebral disc (pyogenic), occipito-atlanto-axial region
M46.32	Infection of intervertebral disc (pyogenic), cervical region
M46.33	Infection of intervertebral disc (pyogenic), cervicothoracic region
M46.41	Discitis, unspecified, occipito-atlanto-axial region
M46.42	Discitis, unspecified, cervical region
M46.43	Discitis, unspecified, cervicothoracic region
M46.51	Other infective spondylopathies, occipito-atlanto-axial region
M48.01	Spinal stenosis, occipito-atlanto-axial region
M48.02	Spinal stenosis, cervical region
M48.03	Spinal stenosis, cervicothoracic region
M48.31	Traumatic spondylopathy, occipito-atlanto-axial region
M48.32	Traumatic spondylopathy, cervical region
M48.33	Traumatic spondylopathy, cervicothoracic region
M48.42XA	Fatigue fracture of vertebra, cervical region, initial encounter for fracture
M48.42XD	Fatigue fracture of vertebra, cervical region, subsequent encounter for fracture with routine healing
M48.42XG	Fatigue fracture of vertebra, cervical region, subsequent encounter for fracture with delayed healing
M48.43XA	Fatigue fracture of vertebra, cervicothoracic region, initial encounter for fracture
M48.43XG	Fatigue fracture of vertebra, cervicothoracic region, subsequent encounter for fracture with delayed healing
M48.43XS	Fatigue fracture of vertebra, cervicothoracic region, sequela of fracture
M48.51XA	Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, initial encounter for fracture
M48.51XG	Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, subsequent encounter for fracture with delayed healing
M48.51XS	Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, sequela of fracture
M48.52XA	Collapsed vertebra, not elsewhere classified, cervical region, initial encounter for fracture
M48.52XG	Collapsed vertebra, not elsewhere classified, cervical region, subsequent encounter for fracture with delayed healing
M48.52XS	Collapsed vertebra, not elsewhere classified, cervical region, sequela of fracture
M48.53XA	Collapsed vertebra, not elsewhere classified, cervicothoracic region, initial encounter for fracture
M48.53XG	Collapsed vertebra, not elsewhere classified, cervicothoracic region, subsequent encounter for fracture with delayed healing
M50.01	Cervical disc disorder with myelopathy, high cervical region
M50.021	Cervical disc disorder at C4-C5 level with myelopathy
M50.022	Cervical disc disorder at C5-C6 level with myelopathy
M50.023	Cervical disc disorder at C6-C7 level with myelopathy
M50.03	Cervical disc disorder with myelopathy, cervicothoracic region
M50.10	Cervical disc disorder with radiculopathy, unspecified cervical region
M50.11	Cervical disc disorder with radiculopathy, high cervical region
M50.120	Mid-cervical disc disorder, unspecified level
M50.121	Cervical disc disorder at C4-C5 level with radiculopathy
M50.122	Cervical disc disorder at C5-C6 level with radiculopathy
M50.123	Cervical disc disorder at C6-C7 level with radiculopathy
M50.13	Cervical disc disorder with radiculopathy, cervicothoracic region
M50.20	Other cervical disc displacement, unspecified cervical region
M50.21	Other cervical disc displacement, high cervical region
M50.220	Other cervical disc displacement, mid-cervical region, unspecified level
M50.221	Other cervical disc displacement at C4-C5 level
M50.222	Other cervical disc displacement at C5-C6 level
M50.223	Other cervical disc displacement at C6-C7 level
M50.23	Other cervical disc displacement, cervicothoracic region
M50.30	Other cervical disc degeneration, unspecified cervical region
M50.31	Other cervical disc degeneration, high cervical region
M50.320	Other cervical disc degeneration, mid-cervical region, unspecified level
M50.321	Other cervical disc degeneration at C4-C5 level
M50.322	Other cervical disc degeneration at C5-C6 level
M50.323	Other cervical disc degeneration at C6-C7 level
M50.33	Other cervical disc degeneration, cervicothoracic region
M53.2X1	Spinal instabilities, occipito-atlanto-axial region
M53.2X2	Spinal instabilities, cervical region
M53.2X3	Spinal instabilities, cervicothoracic region
M54.11	Radiculopathy, occipito-atlanto-axial region
M54.12	Radiculopathy, cervical region
M54.13	Radiculopathy, cervicothoracic region
M96.0	Pseudarthrosis after fusion or arthrodesis
M96.1	Postlaminectomy syndrome, not elsewhere classified
S12.000A	Unspecified displaced fracture of first cervical vertebra, initial encounter for closed fracture
S12.000B	Unspecified displaced fracture of first cervical vertebra, initial encounter for open fracture
S12.000D	Unspecified displaced fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
S12.000G	Unspecified displaced fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
S12.000K	Unspecified displaced fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
S12.000S	Unspecified displaced fracture of first cervical vertebra, sequela
S12.001A	Unspecified nondisplaced fracture of first cervical vertebra, initial encounter for closed fracture
S12.001B	Unspecified nondisplaced fracture of first cervical vertebra, initial encounter for open fracture
S12.001D	Unspecified nondisplaced fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
S12.001G	Unspecified nondisplaced fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
S12.001K	Unspecified nondisplaced fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
S12.001S	Unspecified nondisplaced fracture of first cervical vertebra, sequela
S12.01XB	Stable burst fracture of first cervical vertebra, initial encounter for open fracture
S12.01XG	Stable burst fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
S12.01XK	Stable burst fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
S12.01XS	Stable burst fracture of first cervical vertebra, sequela
S12.02XA	Unstable burst fracture of first cervical vertebra, initial encounter for closed fracture
S12.02XB	Unstable burst fracture of first cervical vertebra, initial encounter for open fracture
S12.02XD	Unstable burst fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
S12.02XG	Unstable burst fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
S12.02XK	Unstable burst fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
S12.02XS	Unstable burst fracture of first cervical vertebra, sequela
S12.030A	Displaced posterior arch fracture of first cervical vertebra, initial encounter for closed fracture
S12.030B	Displaced posterior arch fracture of first cervical vertebra, initial encounter for open fracture
S12.030D	Displaced posterior arch fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
S12.030G	Displaced posterior arch fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
S12.030K	Displaced posterior arch fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
S12.030S	Displaced posterior arch fracture of first cervical vertebra, sequela
S12.031B	Nondisplaced posterior arch fracture of first cervical vertebra, initial encounter for open fracture
S12.031G	Nondisplaced posterior arch fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
S12.031K	Nondisplaced posterior arch fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
S12.031S	Nondisplaced posterior arch fracture of first cervical vertebra, sequela
S12.040A	Displaced lateral mass fracture of first cervical vertebra, initial encounter for closed fracture
S12.040B	Displaced lateral mass fracture of first cervical vertebra, initial encounter for open fracture
S12.040D	Displaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
S12.040G	Displaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
S12.040K	Displaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
S12.040S	Displaced lateral mass fracture of first cervical vertebra, sequela
S12.041B	Nondisplaced lateral mass fracture of first cervical vertebra, initial encounter for open fracture
S12.041G	Nondisplaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
S12.041K	Nondisplaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
S12.041S	Nondisplaced lateral mass fracture of first cervical vertebra, sequela
S12.090A	Other displaced fracture of first cervical vertebra, initial encounter for closed fracture
S12.090B	Other displaced fracture of first cervical vertebra, initial encounter for open fracture
S12.090G	Other displaced fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
S12.090K	Other displaced fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
S12.090S	Other displaced fracture of first cervical vertebra, sequela
S12.091A	Other nondisplaced fracture of first cervical vertebra, initial encounter for closed fracture
S12.091B	Other nondisplaced fracture of first cervical vertebra, initial encounter for open fracture
S12.091G	Other nondisplaced fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing
S12.091K	Other nondisplaced fracture of first cervical vertebra, subsequent encounter for fracture with nonunion
S12.091S	Other nondisplaced fracture of first cervical vertebra, sequela
S12.100A	Unspecified displaced fracture of second cervical vertebra, initial encounter for closed fracture
S12.100B	Unspecified displaced fracture of second cervical vertebra, initial encounter for open fracture
S12.100D	Unspecified displaced fracture of second cervical vertebra, subsequent encounter for fracture with routine healing
S12.100G	Unspecified displaced fracture of second cervical vertebra, subsequent encounter for fracture with delayed healing
S12.100K	Unspecified displaced fracture of second cervical vertebra, subsequent encounter for fracture with nonunion
S12.100S	Unspecified displaced fracture of second cervical vertebra, sequela
S12.101B	Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for open fracture
S12.101G	Unspecified nondisplaced fracture of second cervical vertebra, subsequent encounter for fracture with delayed healing
S12.101K	Unspecified nondisplaced fracture of second cervical vertebra, subsequent encounter for fracture with nonunion
S12.101S	Unspecified nondisplaced fracture of second cervical vertebra, sequela
S12.110A	Anterior displaced Type II dens fracture, initial encounter for closed fracture
S12.110B	Anterior displaced Type II dens fracture, initial encounter for open fracture
S12.110G	Anterior displaced Type II dens fracture, subsequent encounter for fracture with delayed healing
S12.110K	Anterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion
S12.110S	Anterior displaced Type II dens fracture, sequela
S12.111A	Posterior displaced Type II dens fracture, initial encounter for closed fracture
S12.111B	Posterior displaced Type II dens fracture, initial encounter for open fracture
S12.111G	Posterior displaced Type II dens fracture, subsequent encounter for fracture with delayed healing
S12.111K	Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion
S12.111S	Posterior displaced Type II dens fracture, sequela
S12.120A	Other displaced dens fracture, initial encounter for closed fracture
S12.120B	Other displaced dens fracture, initial encounter for open fracture
S12.120G	Other displaced dens fracture, subsequent encounter for fracture with delayed healing
S12.120K	Other displaced dens fracture, subsequent encounter for fracture with nonunion
S12.120S	Other displaced dens fracture, sequela
S12.130A	Unspecified traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture
S12.130B	Unspecified traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for open fracture
S12.130D	Unspecified traumatic displaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with routine healing
S12.130G	Unspecified traumatic displaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with delayed healing
S12.130K	Unspecified traumatic displaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with nonunion
S12.130S	Unspecified traumatic displaced spondylolisthesis of second cervical vertebra, sequela
S12.131A	Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture
S12.131B	Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for open fracture
S12.131G	Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with delayed healing
S12.131K	Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with nonunion
S12.131S	Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, sequela
S12.14XA	Type III traumatic spondylolisthesis of second cervical vertebra, initial encounter for closed fracture
S12.14XB	Type III traumatic spondylolisthesis of second cervical vertebra, initial encounter for open fracture
S12.14XD	Type III traumatic spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with routine healing
S12.14XG	Type III traumatic spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with delayed healing
S12.14XK	Type III traumatic spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with nonunion
S12.14XS	Type III traumatic spondylolisthesis of second cervical vertebra, sequela
S12.150A	Other traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture
S12.150B	Other traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for open fracture
S12.150D	Other traumatic displaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with routine healing
S12.150G	Other traumatic displaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with delayed healing
S12.150K	Other traumatic displaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with nonunion
S12.150S	Other traumatic displaced spondylolisthesis of second cervical vertebra, sequela
S12.151A	Other traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture
S12.151B	Other traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for open fracture
S12.151D	Other traumatic nondisplaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with routine healing
S12.151G	Other traumatic nondisplaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with delayed healing
S12.151K	Other traumatic nondisplaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with nonunion
S12.151S	Other traumatic nondisplaced spondylolisthesis of second cervical vertebra, sequela
S12.190A	Other displaced fracture of second cervical vertebra, initial encounter for closed fracture
S12.190B	Other displaced fracture of second cervical vertebra, initial encounter for open fracture
S12.190D	Other displaced fracture of second cervical vertebra, subsequent encounter for fracture with routine healing
S12.190G	Other displaced fracture of second cervical vertebra, subsequent encounter for fracture with delayed healing
S12.190K	Other displaced fracture of second cervical vertebra, subsequent encounter for fracture with nonunion
S12.190S	Other displaced fracture of second cervical vertebra, sequela
S12.191B	Other nondisplaced fracture of second cervical vertebra, initial encounter for open fracture
S12.191G	Other nondisplaced fracture of second cervical vertebra, subsequent encounter for fracture with delayed healing
S12.191K	Other nondisplaced fracture of second cervical vertebra, subsequent encounter for fracture with nonunion
S12.191S	Other nondisplaced fracture of second cervical vertebra, sequela
S12.200A	Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture
S12.200B	Unspecified displaced fracture of third cervical vertebra, initial encounter for open fracture
S12.200D	Unspecified displaced fracture of third cervical vertebra, subsequent encounter for fracture with routine healing
S12.200G	Unspecified displaced fracture of third cervical vertebra, subsequent encounter for fracture with delayed healing
S12.200K	Unspecified displaced fracture of third cervical vertebra, subsequent encounter for fracture with nonunion
S12.200S	Unspecified displaced fracture of third cervical vertebra, sequela
S12.201A	Unspecified nondisplaced fracture of third cervical vertebra, initial encounter for closed fracture
S12.201B	Unspecified nondisplaced fracture of third cervical vertebra, initial encounter for open fracture
S12.201D	Unspecified nondisplaced fracture of third cervical vertebra, subsequent encounter for fracture with routine healing
S12.201G	Unspecified nondisplaced fracture of third cervical vertebra, subsequent encounter for fracture with delayed healing
S12.201K	Unspecified nondisplaced fracture of third cervical vertebra, subsequent encounter for fracture with nonunion
S12.201S	Unspecified nondisplaced fracture of third cervical vertebra, sequela
S12.230A	Unspecified traumatic displaced spondylolisthesis of third cervical vertebra, initial encounter for closed fracture
S12.230B	Unspecified traumatic displaced spondylolisthesis of third cervical vertebra, initial encounter for open fracture
S12.230D	Unspecified traumatic displaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with routine healing
S12.230G	Unspecified traumatic displaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with delayed healing
S12.230K	Unspecified traumatic displaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with nonunion
S12.230S	Unspecified traumatic displaced spondylolisthesis of third cervical vertebra, sequela
S12.231B	Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra, initial encounter for open fracture
S12.231G	Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with delayed healing
S12.231K	Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with nonunion
S12.231S	Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra, sequela
S12.24XA	Type III traumatic spondylolisthesis of third cervical vertebra, initial encounter for closed fracture
S12.24XB	Type III traumatic spondylolisthesis of third cervical vertebra, initial encounter for open fracture
S12.24XG	Type III traumatic spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with delayed healing
S12.24XK	Type III traumatic spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with nonunion
S12.24XS	Type III traumatic spondylolisthesis of third cervical vertebra, sequela
S12.250A	Other traumatic displaced spondylolisthesis of third cervical vertebra, initial encounter for closed fracture
S12.250B	Other traumatic displaced spondylolisthesis of third cervical vertebra, initial encounter for open fracture
S12.250D	Other traumatic displaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with routine healing
S12.250G	Other traumatic displaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with delayed healing
S12.250K	Other traumatic displaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with nonunion
S12.250S	Other traumatic displaced spondylolisthesis of third cervical vertebra, sequela
S12.251A	Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, initial encounter for closed fracture
S12.251B	Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, initial encounter for open fracture
S12.251D	Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with routine healing
S12.251G	Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with delayed healing
S12.251K	Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with nonunion
S12.251S	Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, sequela
S12.290A	Other displaced fracture of third cervical vertebra, initial encounter for closed fracture
S12.290B	Other displaced fracture of third cervical vertebra, initial encounter for open fracture
S12.290D	Other displaced fracture of third cervical vertebra, subsequent encounter for fracture with routine healing
S12.290G	Other displaced fracture of third cervical vertebra, subsequent encounter for fracture with delayed healing
S12.290K	Other displaced fracture of third cervical vertebra, subsequent encounter for fracture with nonunion
S12.290S	Other displaced fracture of third cervical vertebra, sequela
S12.291A	Other nondisplaced fracture of third cervical vertebra, initial encounter for closed fracture
S12.291B	Other nondisplaced fracture of third cervical vertebra, initial encounter for open fracture
S12.291D	Other nondisplaced fracture of third cervical vertebra, subsequent encounter for fracture with routine healing
S12.291G	Other nondisplaced fracture of third cervical vertebra, subsequent encounter for fracture with delayed healing
S12.291K	Other nondisplaced fracture of third cervical vertebra, subsequent encounter for fracture with nonunion
S12.291S	Other nondisplaced fracture of third cervical vertebra, sequela
S12.300A	Unspecified displaced fracture of fourth cervical vertebra, initial encounter for closed fracture
S12.300B	Unspecified displaced fracture of fourth cervical vertebra, initial encounter for open fracture
S12.300D	Unspecified displaced fracture of fourth cervical vertebra, subsequent encounter for fracture with routine healing
S12.300G	Unspecified displaced fracture of fourth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.300K	Unspecified displaced fracture of fourth cervical vertebra, subsequent encounter for fracture with nonunion
S12.300S	Unspecified displaced fracture of fourth cervical vertebra, sequela
S12.301A	Unspecified nondisplaced fracture of fourth cervical vertebra, initial encounter for closed fracture
S12.301B	Unspecified nondisplaced fracture of fourth cervical vertebra, initial encounter for open fracture
S12.301D	Unspecified nondisplaced fracture of fourth cervical vertebra, subsequent encounter for fracture with routine healing
S12.301G	Unspecified nondisplaced fracture of fourth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.301K	Unspecified nondisplaced fracture of fourth cervical vertebra, subsequent encounter for fracture with nonunion
S12.301S	Unspecified nondisplaced fracture of fourth cervical vertebra, sequela
S12.330A	Unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra, initial encounter for closed fracture
S12.330B	Unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture
S12.330D	Unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with routine healing
S12.330G	Unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.330K	Unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with nonunion
S12.330S	Unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra, sequela
S12.331B	Unspecified traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture
S12.331G	Unspecified traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.331K	Unspecified traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with nonunion
S12.331S	Unspecified traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, sequela
S12.34XA	Type III traumatic spondylolisthesis of fourth cervical vertebra, initial encounter for closed fracture
S12.34XB	Type III traumatic spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture
S12.34XD	Type III traumatic spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with routine healing
S12.34XG	Type III traumatic spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.34XK	Type III traumatic spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with nonunion
S12.34XS	Type III traumatic spondylolisthesis of fourth cervical vertebra, sequela
S12.350A	Other traumatic displaced spondylolisthesis of fourth cervical vertebra, initial encounter for closed fracture
S12.350B	Other traumatic displaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture
S12.350D	Other traumatic displaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with routine healing
S12.350G	Other traumatic displaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.350K	Other traumatic displaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with nonunion
S12.350S	Other traumatic displaced spondylolisthesis of fourth cervical vertebra, sequela
S12.351B	Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture
S12.351D	Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with routine healing
S12.351G	Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.351K	Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with nonunion
S12.351S	Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, sequela
S12.390A	Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture
S12.390B	Other displaced fracture of fourth cervical vertebra, initial encounter for open fracture
S12.390D	Other displaced fracture of fourth cervical vertebra, subsequent encounter for fracture with routine healing
S12.390G	Other displaced fracture of fourth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.390K	Other displaced fracture of fourth cervical vertebra, subsequent encounter for fracture with nonunion
S12.390S	Other displaced fracture of fourth cervical vertebra, sequela
S12.391B	Other nondisplaced fracture of fourth cervical vertebra, initial encounter for open fracture
S12.391G	Other nondisplaced fracture of fourth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.391K	Other nondisplaced fracture of fourth cervical vertebra, subsequent encounter for fracture with nonunion
S12.391S	Other nondisplaced fracture of fourth cervical vertebra, sequela
S12.400A	Unspecified displaced fracture of fifth cervical vertebra, initial encounter for closed fracture
S12.400B	Unspecified displaced fracture of fifth cervical vertebra, initial encounter for open fracture
S12.400D	Unspecified displaced fracture of fifth cervical vertebra, subsequent encounter for fracture with routine healing
S12.400G	Unspecified displaced fracture of fifth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.400K	Unspecified displaced fracture of fifth cervical vertebra, subsequent encounter for fracture with nonunion
S12.400S	Unspecified displaced fracture of fifth cervical vertebra, sequela
S12.401B	Unspecified nondisplaced fracture of fifth cervical vertebra, initial encounter for open fracture
S12.401D	Unspecified nondisplaced fracture of fifth cervical vertebra, subsequent encounter for fracture with routine healing
S12.401G	Unspecified nondisplaced fracture of fifth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.401K	Unspecified nondisplaced fracture of fifth cervical vertebra, subsequent encounter for fracture with nonunion
S12.401S	Unspecified nondisplaced fracture of fifth cervical vertebra, sequela
S12.430A	Unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra, initial encounter for closed fracture
S12.430B	Unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture
S12.430D	Unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with routine healing
S12.430G	Unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.430K	Unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with nonunion
S12.430S	Unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra, sequela
S12.431A	Unspecified traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, initial encounter for closed fracture
S12.431B	Unspecified traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture
S12.431G	Unspecified traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.431K	Unspecified traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with nonunion
S12.431S	Unspecified traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, sequela
S12.44XA	Type III traumatic spondylolisthesis of fifth cervical vertebra, initial encounter for closed fracture
S12.44XB	Type III traumatic spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture
S12.44XD	Type III traumatic spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with routine healing
S12.44XG	Type III traumatic spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.44XK	Type III traumatic spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with nonunion
S12.44XS	Type III traumatic spondylolisthesis of fifth cervical vertebra, sequela
S12.450A	Other traumatic displaced spondylolisthesis of fifth cervical vertebra, initial encounter for closed fracture
S12.450B	Other traumatic displaced spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture
S12.450D	Other traumatic displaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with routine healing
S12.450G	Other traumatic displaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.450K	Other traumatic displaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with nonunion
S12.450S	Other traumatic displaced spondylolisthesis of fifth cervical vertebra, sequela
S12.451A	Other traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, initial encounter for closed fracture
S12.451B	Other traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture
S12.451D	Other traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with routine healing
S12.451G	Other traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.451K	Other traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with nonunion
S12.451S	Other traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, sequela
S12.490A	Other displaced fracture of fifth cervical vertebra, initial encounter for closed fracture
S12.490B	Other displaced fracture of fifth cervical vertebra, initial encounter for open fracture
S12.490D	Other displaced fracture of fifth cervical vertebra, subsequent encounter for fracture with routine healing
S12.490G	Other displaced fracture of fifth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.490K	Other displaced fracture of fifth cervical vertebra, subsequent encounter for fracture with nonunion
S12.490S	Other displaced fracture of fifth cervical vertebra, sequela
S12.491A	Other nondisplaced fracture of fifth cervical vertebra, initial encounter for closed fracture
S12.491B	Other nondisplaced fracture of fifth cervical vertebra, initial encounter for open fracture
S12.491G	Other nondisplaced fracture of fifth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.491K	Other nondisplaced fracture of fifth cervical vertebra, subsequent encounter for fracture with nonunion
S12.491S	Other nondisplaced fracture of fifth cervical vertebra, sequela
S12.500A	Unspecified displaced fracture of sixth cervical vertebra, initial encounter for closed fracture
S12.500B	Unspecified displaced fracture of sixth cervical vertebra, initial encounter for open fracture
S12.500D	Unspecified displaced fracture of sixth cervical vertebra, subsequent encounter for fracture with routine healing
S12.500G	Unspecified displaced fracture of sixth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.500K	Unspecified displaced fracture of sixth cervical vertebra, subsequent encounter for fracture with nonunion
S12.500S	Unspecified displaced fracture of sixth cervical vertebra, sequela
S12.501A	Unspecified nondisplaced fracture of sixth cervical vertebra, initial encounter for closed fracture
S12.501B	Unspecified nondisplaced fracture of sixth cervical vertebra, initial encounter for open fracture
S12.501G	Unspecified nondisplaced fracture of sixth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.501K	Unspecified nondisplaced fracture of sixth cervical vertebra, subsequent encounter for fracture with nonunion
S12.501S	Unspecified nondisplaced fracture of sixth cervical vertebra, sequela
S12.530A	Unspecified traumatic displaced spondylolisthesis of sixth cervical vertebra, initial encounter for closed fracture
S12.530B	Unspecified traumatic displaced spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture
S12.530D	Unspecified traumatic displaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with routine healing
S12.530G	Unspecified traumatic displaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.530K	Unspecified traumatic displaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with nonunion
S12.530S	Unspecified traumatic displaced spondylolisthesis of sixth cervical vertebra, sequela
S12.531A	Unspecified traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, initial encounter for closed fracture
S12.531B	Unspecified traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture
S12.531G	Unspecified traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.531K	Unspecified traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with nonunion
S12.531S	Unspecified traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, sequela
S12.54XA	Type III traumatic spondylolisthesis of sixth cervical vertebra, initial encounter for closed fracture
S12.54XB	Type III traumatic spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture
S12.54XD	Type III traumatic spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with routine healing
S12.54XG	Type III traumatic spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.54XK	Type III traumatic spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with nonunion
S12.54XS	Type III traumatic spondylolisthesis of sixth cervical vertebra, sequela
S12.550A	Other traumatic displaced spondylolisthesis of sixth cervical vertebra, initial encounter for closed fracture
S12.550B	Other traumatic displaced spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture
S12.550D	Other traumatic displaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with routine healing
S12.550G	Other traumatic displaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.550K	Other traumatic displaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with nonunion
S12.550S	Other traumatic displaced spondylolisthesis of sixth cervical vertebra, sequela
S12.551A	Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, initial encounter for closed fracture
S12.551B	Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture
S12.551D	Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with routine healing
S12.551G	Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.551K	Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with nonunion
S12.551S	Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, sequela
S12.590A	Other displaced fracture of sixth cervical vertebra, initial encounter for closed fracture
S12.590B	Other displaced fracture of sixth cervical vertebra, initial encounter for open fracture
S12.590D	Other displaced fracture of sixth cervical vertebra, subsequent encounter for fracture with routine healing
S12.590G	Other displaced fracture of sixth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.590K	Other displaced fracture of sixth cervical vertebra, subsequent encounter for fracture with nonunion
S12.590S	Other displaced fracture of sixth cervical vertebra, sequela
S12.591B	Other nondisplaced fracture of sixth cervical vertebra, initial encounter for open fracture
S12.591G	Other nondisplaced fracture of sixth cervical vertebra, subsequent encounter for fracture with delayed healing
S12.591K	Other nondisplaced fracture of sixth cervical vertebra, subsequent encounter for fracture with nonunion
S12.591S	Other nondisplaced fracture of sixth cervical vertebra, sequela
S12.600A	Unspecified displaced fracture of seventh cervical vertebra, initial encounter for closed fracture
S12.600B	Unspecified displaced fracture of seventh cervical vertebra, initial encounter for open fracture
S12.600D	Unspecified displaced fracture of seventh cervical vertebra, subsequent encounter for fracture with routine healing
S12.600G	Unspecified displaced fracture of seventh cervical vertebra, subsequent encounter for fracture with delayed healing
S12.600K	Unspecified displaced fracture of seventh cervical vertebra, subsequent encounter for fracture with nonunion
S12.600S	Unspecified displaced fracture of seventh cervical vertebra, sequela
S12.601B	Unspecified nondisplaced fracture of seventh cervical vertebra, initial encounter for open fracture
S12.601G	Unspecified nondisplaced fracture of seventh cervical vertebra, subsequent encounter for fracture with delayed healing
S12.601K	Unspecified nondisplaced fracture of seventh cervical vertebra, subsequent encounter for fracture with nonunion
S12.601S	Unspecified nondisplaced fracture of seventh cervical vertebra, sequela
S12.630A	Unspecified traumatic displaced spondylolisthesis of seventh cervical vertebra, initial encounter for closed fracture
S12.630B	Unspecified traumatic displaced spondylolisthesis of seventh cervical vertebra, initial encounter for open fracture
S12.630D	Unspecified traumatic displaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with routine healing
S12.630G	Unspecified traumatic displaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with delayed healing
S12.630K	Unspecified traumatic displaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with nonunion
S12.630S	Unspecified traumatic displaced spondylolisthesis of seventh cervical vertebra, sequela
S12.631A	Unspecified traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, initial encounter for closed fracture
S12.631B	Unspecified traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, initial encounter for open fracture
S12.631D	Unspecified traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with routine healing
S12.631G	Unspecified traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with delayed healing
S12.631K	Unspecified traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with nonunion
S12.631S	Unspecified traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, sequela
S12.64XA	Type III traumatic spondylolisthesis of seventh cervical vertebra, initial encounter for closed fracture
S12.64XB	Type III traumatic spondylolisthesis of seventh cervical vertebra, initial encounter for open fracture
S12.64XD	Type III traumatic spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with routine healing
S12.64XG	Type III traumatic spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with delayed healing
S12.64XK	Type III traumatic spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with nonunion
S12.64XS	Type III traumatic spondylolisthesis of seventh cervical vertebra, sequela
S12.650A	Other traumatic displaced spondylolisthesis of seventh cervical vertebra, initial encounter for closed fracture
S12.650B	Other traumatic displaced spondylolisthesis of seventh cervical vertebra, initial encounter for open fracture
S12.650D	Other traumatic displaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with routine healing
S12.650G	Other traumatic displaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with delayed healing
S12.650K	Other traumatic displaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with nonunion
S12.650S	Other traumatic displaced spondylolisthesis of seventh cervical vertebra, sequela
S12.651A	Other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, initial encounter for closed fracture
S12.651B	Other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, initial encounter for open fracture
S12.651D	Other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with routine healing
S12.651G	Other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with delayed healing
S12.651K	Other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, subsequent encounter for fracture with nonunion
S12.651S	Other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, sequela
S12.690A	Other displaced fracture of seventh cervical vertebra, initial encounter for closed fracture
S12.690B	Other displaced fracture of seventh cervical vertebra, initial encounter for open fracture
S12.690D	Other displaced fracture of seventh cervical vertebra, subsequent encounter for fracture with routine healing
S12.690G	Other displaced fracture of seventh cervical vertebra, subsequent encounter for fracture with delayed healing
S12.690K	Other displaced fracture of seventh cervical vertebra, subsequent encounter for fracture with nonunion
S12.690S	Other displaced fracture of seventh cervical vertebra, sequela
S12.691B	Other nondisplaced fracture of seventh cervical vertebra, initial encounter for open fracture
S12.691G	Other nondisplaced fracture of seventh cervical vertebra, subsequent encounter for fracture with delayed healing
S12.691K	Other nondisplaced fracture of seventh cervical vertebra, subsequent encounter for fracture with nonunion
S12.691S	Other nondisplaced fracture of seventh cervical vertebra, sequela
S12.9XXA	Fracture of neck, unspecified, initial encounter
S12.9XXD	Fracture of neck, unspecified, subsequent encounter
S12.9XXS	Fracture of neck, unspecified, sequela
S13.101A	Dislocation of unspecified cervical vertebrae, initial encounter
S13.101D	Dislocation of unspecified cervical vertebrae, subsequent encounter
S13.101S	Dislocation of unspecified cervical vertebrae, sequela
S13.110A	Subluxation of C0/C1 cervical vertebrae, initial encounter
S13.110D	Subluxation of C0/C1 cervical vertebrae, subsequent encounter
S13.110S	Subluxation of C0/C1 cervical vertebrae, sequela
S13.111A	Dislocation of C0/C1 cervical vertebrae, initial encounter
S13.111D	Dislocation of C0/C1 cervical vertebrae, subsequent encounter
S13.111S	Dislocation of C0/C1 cervical vertebrae, sequela
S13.120A	Subluxation of C1/C2 cervical vertebrae, initial encounter
S13.120D	Subluxation of C1/C2 cervical vertebrae, subsequent encounter
S13.120S	Subluxation of C1/C2 cervical vertebrae, sequela
S13.121A	Dislocation of C1/C2 cervical vertebrae, initial encounter
S13.121D	Dislocation of C1/C2 cervical vertebrae, subsequent encounter
S13.121S	Dislocation of C1/C2 cervical vertebrae, sequela
S13.130A	Subluxation of C2/C3 cervical vertebrae, initial encounter
S13.130D	Subluxation of C2/C3 cervical vertebrae, subsequent encounter
S13.130S	Subluxation of C2/C3 cervical vertebrae, sequela
S13.131A	Dislocation of C2/C3 cervical vertebrae, initial encounter
S13.131D	Dislocation of C2/C3 cervical vertebrae, subsequent encounter
S13.131S	Dislocation of C2/C3 cervical vertebrae, sequela
S13.140A	Subluxation of C3/C4 cervical vertebrae, initial encounter
S13.140D	Subluxation of C3/C4 cervical vertebrae, subsequent encounter
S13.140S	Subluxation of C3/C4 cervical vertebrae, sequela
S13.141A	Dislocation of C3/C4 cervical vertebrae, initial encounter
S13.141D	Dislocation of C3/C4 cervical vertebrae, subsequent encounter
S13.141S	Dislocation of C3/C4 cervical vertebrae, sequela
S13.150A	Subluxation of C4/C5 cervical vertebrae, initial encounter
S13.150D	Subluxation of C4/C5 cervical vertebrae, subsequent encounter
S13.150S	Subluxation of C4/C5 cervical vertebrae, sequela
S13.151A	Dislocation of C4/C5 cervical vertebrae, initial encounter
S13.151D	Dislocation of C4/C5 cervical vertebrae, subsequent encounter
S13.151S	Dislocation of C4/C5 cervical vertebrae, sequela
S13.160A	Subluxation of C5/C6 cervical vertebrae, initial encounter
S13.160D	Subluxation of C5/C6 cervical vertebrae, subsequent encounter
S13.160S	Subluxation of C5/C6 cervical vertebrae, sequela
S13.161A	Dislocation of C5/C6 cervical vertebrae, initial encounter
S13.161D	Dislocation of C5/C6 cervical vertebrae, subsequent encounter
S13.161S	Dislocation of C5/C6 cervical vertebrae, sequela
S13.170A	Subluxation of C6/C7 cervical vertebrae, initial encounter
S13.170D	Subluxation of C6/C7 cervical vertebrae, subsequent encounter
S13.170S	Subluxation of C6/C7 cervical vertebrae, sequela
S13.171A	Dislocation of C6/C7 cervical vertebrae, initial encounter
S13.171D	Dislocation of C6/C7 cervical vertebrae, subsequent encounter
S13.171S	Dislocation of C6/C7 cervical vertebrae, sequela
S13.180A	Subluxation of C7/T1 cervical vertebrae, initial encounter
S13.180D	Subluxation of C7/T1 cervical vertebrae, subsequent encounter
S13.180S	Subluxation of C7/T1 cervical vertebrae, sequela
S13.181A	Dislocation of C7/T1 cervical vertebrae, initial encounter
S13.181D	Dislocation of C7/T1 cervical vertebrae, subsequent encounter
S13.181S	Dislocation of C7/T1 cervical vertebrae, sequela
S13.20XA	Dislocation of unspecified parts of neck, initial encounter
S13.20XD	Dislocation of unspecified parts of neck, subsequent encounter
S13.20XS	Dislocation of unspecified parts of neck, sequela
S13.29XA	Dislocation of other parts of neck, initial encounter
S13.29XD	Dislocation of other parts of neck, subsequent encounter
S13.29XS	Dislocation of other parts of neck, sequela

ICD-10-CM Codes that DO NOT Support Medical Necessity

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ICD-10-PCS Codes

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Additional ICD-10 Information

N/A

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the article should be assumed to apply equally to all claims.

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Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.

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Coding Table Information

Excluded CPT/HCPCS Codes - Table Format

Code	Descriptor Generic Name	Descriptor Brand Name	Exclusion Effective Date	Exclusion End Date	Reason for Exclusion
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Non-Excluded CPT/HCPCS Ended Codes - Table Format

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Revision History Information

Revision History Date	Revision History Number	Revision History Explanation
09/26/2024	R2	Under *CPT/HCPCS Codes Group 1: Codes* deleted 22585 and 22614. Under ICD-10-CM Codes that Support Medical Necessity Group 1: Codes added S12.01XB, S12.01XG, S12.01XK, S12.01XS, S12.02XA, S12.02XB, S12.02XD, S12.02XG, S12.02XK, S12.02XS, S12.030A, S12.030B, S12.030D, S12.030G, S12.030K, S12.030S, S12.031B, S12.031G, S12.031K, S12.031S, S12.040A, S12.040B, S12.040D, S12.040G, S12.040K, S12.040S, S12.041B, S12.041G, S12.041K, S12.041S, S12.090A, S12.090B, S12.090G, S12.090K, S12.090S, S12.091A, S12.091B, S12.091G, S12.091K, S12.091S, S12.100A, S12.100B, S12.100D, S12.100G, S12.100K, S12.100S, S12.101B, S12.101G, S12.101K, S12.101S, S12.110A, S12.110B, S12.110G, S12.110K, S12.110S, S12.111A, S12.111B, S12.111G, S12.111K, S12.111S, S12.120A, S12.120B, S12.120G, S12.120K, S12.120S, S12.131A, S12.131B, S12.131G, S12.131K, S12.131S, S12.14XA, S12.14XB, S12.14XD, S12.14XG, S12.14XK, S12.14XS, S12.150A, S12.150B, S12.150D, S12.150G, S12.150K, S12.150S, S12.151A, S12.151B, S12.151D, S12.151G, S12.151K, S12.151S, S12.190A, S12.190B, S12.190D, S12.190G, S12.190K, S12.190S, S12.191B, S12.191G, S12.191K, S12.191S, S12.200A, S12.200B, S12.200D, S12.200G, S12.200K, S12.200S, S12.201A, S12.201B, S12.201D, S12.201G, S12.201K, S12.201S, S12.231B, S12.231G, S12.231K, S12.231S, S12.24XA, S12.24XB, S12.24XG, S12.24XK, S12.24XS, S12.250A, S12.250B, S12.250D, S12.250G, S12.250K, S12.250S, S12.251A, S12.251B, S12.251D, S12.251G, S12.251K, S12.251S, S12.290A, S12.290B, S12.290D, S12.290G, S12.290K, S12.290S, S12.291A, S12.291B, S12.291D, S12.291G, S12.291K, S12.291S, S12.300A, S12.300B, S12.300D, S12.300G, S12.300K, S12.300S, S12.301A, S12.301B, S12.301D, S12.301G, S12.301K, S12.301S, S12.331B, S12.331G, S12.331K, S12.331S, S12.34XA, S12.34XB, S12.34XD, S12.34XG, S12.34XK, S12.34XS, S12.350A, S12.350B, S12.350D, S12.350G, S12.350K, S12.350S, S12.351B, S12.351D, S12.351G, S12.351K, S12.351S, S12.390A, S12.390B, S12.390D, S12.390G, S12.390K, S12.390S, S12.391B, S12.391G, S12.391K, S12.391S, S12.400A, S12.400B, S12.400D, S12.400G, S12.400K, S12.400S, S12.401B, S12.401D, S12.401G, S12.401K, S12.401S, S12.431A, S12.431B, S12.431G, S12.431K, S12.431S, S12.44XA, S12.44XB, S12.44XD, S12.44XG, S12.44XK, S12.44XS, S12.450A, S12.450B, S12.450D, S12.450G, S12.450K, S12.450S, S12.451A, S12.451B, S12.451D, S12.451G, S12.451K, S12.451S, S12.490A, S12.490B, S12.490D, S12.490G, S12.490K, S12.490S, S12.491A, S12.491B, S12.491G, S12.491K, S12.491S, S12.500A, S12.500B, S12.500D, S12.500G, S12.500K, S12.500S, S12.501A, S12.501B, S12.501G, S12.501K, S12.501S, S12.531A, S12.531B, S12.531G, S12.531K, S12.531S, S12.54XA, S12.54XB, S12.54XD, S12.54XG, S12.54XK, S12.54XS, S12.550A, S12.550B, S12.550D, S12.550G, S12.550K, S12.550S, S12.551A, S12.551B, S12.551D, S12.551G, S12.551K, S12.551S, S12.590A, S12.590B, S12.590D, S12.590G, S12.590K, S12.590S, S12.591B, S12.591G, S12.591K, S12.591S, S12.600A, S12.600B, S12.600D, S12.600G, S12.600K, S12.600S, S12.601B, S12.601G, S12.601K, S12.601S, S12.631A, S12.631B, S12.631D, S12.631G, S12.631K, S12.631S, S12.64XA, S12.64XB, S12.64XD, S12.64XG, S12.64XK, S12.64XS, S12.650A, S12.650B, S12.650D, S12.650G, S12.650K, S12.650S, S12.651A, S12.651B, S12.651D, S12.651G, S12.651K, S12.651S, S12.690A, S12.690B, S12.690D, S12.690G, S12.690K, S12.690S, S12.691B, S12.691G, S12.691K and S12.691S. This revision is retroactive effective for dates of service on or after 9/26/24.
08/15/2024	R1	Under *Article Text* in the table under When to Use Modifier -GY deleted the sentence “Use this modifier combined with modifier -GX.” Under ICD-10-CM Codes that Support Medical Necessity Group 1: Codes added C41.2, G06.1, M06.88, M40.03, M40.12, M40.202, M40.292, M41.22, M43.12, M43.13, M46.21, M46.22, M46.23, M46.41, M46.42, M46.43, M46.51, M48.31, M48.32, M48.33, M48.42XA, M48.42XD, M48.42XG, M48.43XA, M48.43XG, M48.43XS, M48.51XA, M48.51XG, M48.51XS, M48.52XA, M48.52XG, M48.52XS, M48.53XA, M48.53XG, M50.10, M50.120, M50.20, M50.21, M50.220, M50.221, M50.222, M50.223, M50.23, M50.30, M50.31, M50.320, M50.321, M50.322, M50.323, M50.33, M96.0, M96.1, S12.000A, S12.000B, S12.000D, S12.000G, S12.000K, S12.000S, S12.001A, S12.001B, S12.001D, S12.001G, S12.001K, S12.001S, S12.130A, S12.130B, S12.130D, S12.130G, S12.130K, S12.130S, S12.230A, S12.230B, S12.230D, S12.230G, S12.230K, S12.230S, S12.330A, S12.330B, S12.330D, S12.330G, S12.330K, S12.330S, S12.430A, S12.430B, S12.430D, S12.430G, S12.430K, S12.430S, S12.530A, S12.530B, S12.530D, S12.530G, S12.530K, S12.530S, S12.630A, S12.630B, S12.630D, S12.630G, S12.630K, S12.630S, S12.9XXA, S12.9XXD, S12.9XXS, S13.101A, S13.101D, S13.101S, S13.110A, S13.110D, S13.110S, S13.111A, S13.111D, S13.111S, S13.120A, S13.120D, S13.120S, S13.121A, S13.121D, S13.121S, S13.130A, S13.130D, S13.130S, S13.131A, S13.131D, S13.131S, S13.140A, S13.140D, S13.140S, S13.141A, S13.141D, S13.141S, S13.150A, S13.150D, S13.150S, S13.151A, S13.151D, S13.151S, S13.160A, S13.160D, S13.160S, S13.161A, S13.161D, S13.161S, S13.170A, S13.170D, S13.170S, S13.171A, S13.171D, S13.171S, S13.180A, S13.180D, S13.180S, S13.181A, S13.181D, S13.181S, S13.20XA, S13.20XD, S13.20XS, S13.29XA, S13.29XD and S13.29XS. This revision is retroactive effective for dates of service on or after 8/15/24.

Associated Documents

Related Local Coverage Documents
LCDs
L39773 - Cervical Fusion

Updated On	Effective Dates	Status
10/02/2024	09/26/2024 - N/A	Currently in Effect	You are here
08/16/2024	08/15/2024 - 09/25/2024	Superseded	View
05/17/2024	07/07/2024 - 08/14/2024	Superseded	View

Keywords

Cervical Fusion

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Billing and Coding: Cervical Fusion

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