LCD Reference Article Billing and Coding Article

Billing and Coding: Cervical Fusion

A59668

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Draft Article
Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.

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Source Article ID
N/A
Article ID
A59668
Original ICD-9 Article ID
Not Applicable
Article Title
Billing and Coding: Cervical Fusion
Article Type
Billing and Coding
Original Effective Date
08/11/2024
Revision Effective Date
08/11/2024
Revision Ending Date
N/A
Retirement Date
N/A

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CMS National Coverage Policy

Internet-Only Manuals (IOMs):

  • CMS IOM Publication 100-04, Medicare Claims Processing Manual,
    • Chapter 23, Section 20.9 National Correct Coding Initiative (NCCI)

 National Correct Coding Initiative (NCCI):

  • Medicare NCCI Policy Manual,
    • Chapter 1, General Correct Coding Policies for Medicare National Correct Coding Initiative Policy Manual

Social Security Act (Title XVIII) Standard References:

  • Title XVIII of the Social Security Act, Section 1833(e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period.

Article Guidance

Article Text


This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L39793, Cervical Fusion. Please refer to the LCD for reasonable and necessary requirements.

Coding Guidance

This article 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).

Providers should refer to the applicable AMA CPT Manual to assist with proper reporting of these services.

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

Procedure codes may be subject to NCCI edits or Outpatient Prospective Payment System (OPPS) packaging edits. Refer to NCCI and OPPS requirements prior to billing Medicare. For services requiring a referring/ordering physician, the name and National Provider Identifier (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.

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.

Documentation Requirements

  1. All documentation must be maintained in the patient's medical record and made available to the contractor upon request.
  2. 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.
  3. 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.
  4. 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.)
      • The operative note should include the procedure performed and any associated/additional procedures performed at the same time.
    • 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

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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

Group 1

(4 Codes)
Group 1 Paragraph

N/A

Group 1 Codes
Code Description
GA WAIVER OF LIABILITY STATEMENT ISSUED AS REQUIRED BY PAYER POLICY, INDIVIDUAL CASE
GX NOTICE OF LIABILITY ISSUED, VOLUNTARY UNDER PAYER POLICY
GY ITEM OR SERVICE STATUTORILY EXCLUDED, DOES NOT MEET THE DEFINITION OF ANY MEDICARE BENEFIT OR, FOR NON-MEDICARE INSURERS, IS NOT A CONTRACT BENEFIT
GZ ITEM OR SERVICE EXPECTED TO BE DENIED AS NOT REASONABLE AND NECESSARY
N/A

ICD-10-CM Codes that Support Medical Necessity

Group 1

(535 Codes)
Group 1 Paragraph

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.

The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 22548, 22551, 22552, 22554, 22590, 22595, and 22600.

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
M48.42XS Fatigue fracture of vertebra, cervical region, sequela of fracture
M48.43XA Fatigue fracture of vertebra, cervicothoracic region, initial encounter for fracture
M48.43XD Fatigue fracture of vertebra, cervicothoracic region, subsequent encounter for fracture with routine healing
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
M48.52XD Collapsed vertebra, not elsewhere classified, cervical region, subsequent encounter for fracture with routine healing
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
M48.53XD Collapsed vertebra, not elsewhere classified, cervicothoracic region, subsequent encounter for fracture with routine healing
M48.53XG Collapsed vertebra, not elsewhere classified, cervicothoracic region, subsequent encounter for fracture with delayed healing
M48.53XS Collapsed vertebra, not elsewhere classified, cervicothoracic region, sequela of fracture
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
S12.01XA Stable burst fracture of first cervical vertebra, initial encounter for closed fracture
S12.01XB Stable burst fracture of first cervical vertebra, initial encounter for open fracture
S12.01XD Stable burst fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.031A Nondisplaced posterior arch fracture of first cervical vertebra, initial encounter for closed fracture
S12.031B Nondisplaced posterior arch fracture of first cervical vertebra, initial encounter for open fracture
S12.031D Nondisplaced posterior arch fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.041A Nondisplaced lateral mass fracture of first cervical vertebra, initial encounter for closed fracture
S12.041B Nondisplaced lateral mass fracture of first cervical vertebra, initial encounter for open fracture
S12.041D Nondisplaced lateral mass fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.090D Other displaced fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.091D Other nondisplaced fracture of first cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.101A Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for closed fracture
S12.101B Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for open fracture
S12.101D Unspecified nondisplaced fracture of second cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.110D Anterior displaced Type II dens fracture, subsequent encounter for fracture with routine healing
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
S12.111D Posterior displaced Type II dens fracture, subsequent encounter for fracture with routine healing
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
S12.120D Other displaced dens fracture, subsequent encounter for fracture with routine healing
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
S12.131D Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.191A Other nondisplaced fracture of second cervical vertebra, initial encounter for closed fracture
S12.191B Other nondisplaced fracture of second cervical vertebra, initial encounter for open fracture
S12.191D Other nondisplaced fracture of second cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.231A Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra, initial encounter for closed fracture
S12.231B Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra, initial encounter for open fracture
S12.231D Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.24XD Type III traumatic spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.331A Unspecified traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for closed fracture
S12.331B Unspecified traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture
S12.331D Unspecified traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.351A Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for closed fracture
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
S12.391A Other nondisplaced fracture of fourth cervical vertebra, initial encounter for closed fracture
S12.391B Other nondisplaced fracture of fourth cervical vertebra, initial encounter for open fracture
S12.391D Other nondisplaced fracture of fourth cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.401A Unspecified nondisplaced fracture of fifth cervical vertebra, initial encounter for closed fracture
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
S12.431D Unspecified traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.491D Other nondisplaced fracture of fifth cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.501D Unspecified nondisplaced fracture of sixth cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.531D Unspecified traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with routine 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
S12.54XK 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
S12.551A 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
S12.590B 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
S12.591A Other nondisplaced fracture of sixth cervical vertebra, initial encounter for closed fracture
S12.591B Other nondisplaced fracture of sixth cervical vertebra, initial encounter for open fracture
S12.591D Other nondisplaced fracture of sixth cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.601A Unspecified nondisplaced fracture of seventh cervical vertebra, initial encounter for closed fracture
S12.601B Unspecified nondisplaced fracture of seventh cervical vertebra, initial encounter for open fracture
S12.601D Unspecified nondisplaced fracture of seventh cervical vertebra, subsequent encounter for fracture with routine healing
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
S12.64XK 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
S12.691A Other nondisplaced fracture of seventh cervical vertebra, initial encounter for closed fracture
S12.691B Other nondisplaced fracture of seventh cervical vertebra, initial encounter for open fracture
S12.691D Other nondisplaced fracture of seventh cervical vertebra, subsequent encounter for fracture with routine healing
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
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ICD-10-CM Codes that DO NOT Support Medical Necessity

Group 1

(1 Code)
Group 1 Paragraph

All those not listed under the “ICD-10-CM Codes that Support Medical Necessity” section of this article.

Group 1 Codes
Code Description
XX000 Not Applicable
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ICD-10-PCS Codes

Group 1

Group 1 Paragraph

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Group 1 Codes

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Additional ICD-10 Information

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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.

Code Description

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Revenue Codes

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Code Description

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Other Coding Information

Group 1

Group 1 Paragraph

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Group 1 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
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Revision History Information

Revision History Date Revision History Number Revision History Explanation
08/11/2024 R2

Article revised and published on 11/07/2024 effective for dates of service on and after 08/11/2024. Numerous ICD-10-CM codes were added to Group 1 Codes. This revision is in response to an inquiry. 

08/11/2024 R1

Article revised and published on 08/08/2024 effective for dates of service on and after 08/11/2024 to correct a typographical error. 

Article posted for notice on 06/27/2024 to become effective 08/11/2024.

Draft article posted on 02/15/2024.

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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
Related National Coverage Documents
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SAD Process URL 1
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SAD Process URL 2
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Rules and Regulations URLs
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CMS Manual Explanations URLs
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Keywords

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