ICD 10 CM S12.041D | Description & Clinical Information

ICD 10 S12.041D describes a specific type of injury known as a nondisplaced lateral mass fracture of the first cervical vertebra, which is also referred to as C1 or the atlas, and involves a break in the thicker side portions of the ring-shaped neckbone that supports the head, commonly known as a Jefferson fracture, where the fragments of the bone remain in alignment with each other, and this code is used for subsequent encounters for the fracture when the normal healing process is taking place.

Official Description Of S12.041D

The ICD 10 CM book defines ICD 10 code S12.041D as:

Clinical Information

The diagnosis describes by the ICD 10 CM S12.041D code is a specific type of injury resulting from a fracture in the lateral mass of the first cervical vertebra, also known as the atlas. This type of injury can cause an array of symptoms that range from neck pain extending towards the shoulder to pain in the back of the head, numbness, tingling, and weakness in the arms. These symptoms can be attributed to nerve compression by the injured vertebra as well as muscle and soft tissue damage.

Diagnosing this type of injury typically involves a patient history that includes information about any recent trauma, such as a fall, car accident, or sports-related injury, that may have caused the fracture. A thorough physical examination is then conducted, which may include an assessment of nerve function and range of motion, strength testing, and palpation of the affected area for tenderness.

Imaging techniques, such as Xrays, computed tomography scans, and magnetic resonance imaging, may also be used to confirm the diagnosis and to assess the extent of the injury. These imaging methods can help to identify the location and severity of the fracture and any associated injuries, such as damage to surrounding soft tissues or the spinal canal.

Treatment options for a nondisplaced lateral mass fracture of the first cervical vertebra can vary depending on the extent of the injury and the patient’s overall health. In many cases, the use of a cervical collar to restrict neck movement and reduce discomfort is recommended. Additionally, over-the-counter pain medications or prescription-strength analgesics may be prescribed to manage pain and inflammation associated with the injury.

In some cases, surgical intervention may be necessary to fix the broken fragments in place and relieve any compromise to the spinal canal. This can involve the use of screws, plates, or wires to hold the injured vertebra in place and promote healing. Rehabilitation and physical therapy may also be recommended to help restore mobility, improve strength, and prevent further injury.

Overall, a nondisplaced lateral mass fracture of the first cervical vertebra is a serious injury that can cause significant pain and discomfort, as well as long-term complications if not properly diagnosed and treated. If you have recently experienced trauma, such as a fall, and are experiencing neck pain, tingling, or weakness, it is important to seek medical attention promptly to receive an accurate diagnosis and appropriate treatment. A comprehensive and individualized treatment plan can help you manage your symptoms, promote healing, and restore your overall health and well-being.