ICD 10 CM S12.4 | Description & Clinical Information

ICD 10 S12.4 describes a specific type of injury that involves a fracture, or break, in the fifth cervical vertebra, which is a bony segment located in the cervical spine, also known as the neck region of the spinal column.

Official Description Of S12.4

The ICD 10 CM book defines ICD 10 code S12.4 as:

Fracture of fifth cervical vertebra
Parent Code Notes: S12

Includes: fracture of cervical neural arch
fracture of cervical spine
fracture of cervical spinous process
fracture of cervical transverse process
fracture of cervical vertebral arch
fracture of neck

Code first any associated cervical spinal cord injury (S14.0, S14.1-)

When To Use S12.4

The diagnosis described by the ICD 10 CM S12.4 code refers to a fracture of the fifth cervical vertebra, which can have serious consequences for patients. The fracture is often caused by trauma to the neck region, which may result in neck pain and stiffness, decreased range of motion of the cervical spine, numbness, and/or weakness in the arms, difficulty in breathing or an inability to take a deep breath.

Diagnosis of this condition is primarily based on a patient’s medical history and a physical examination of their cervical spine. Additionally, providers may use imaging techniques such as X-rays, computed tomography, or CT, and magnetic resonance imaging, or MRI, to confirm the diagnosis.

The treatment options for a fifth cervical vertebra fracture vary depending on the severity of the injury, patient symptoms, and medical history. In some cases, a cervical collar may be used to minimize neck movements and stabilize the vertebrae, while in other more severe cases, skeletal traction may be necessary. Nonsteroidal anti-inflammatory drugs, or NSAIDs, may be prescribed to relieve pain, and in some cases, a corticosteroid injection may be administered to reduce inflammation.

Surgical correction is also a viable option for patients who experience significant pain or discomfort, or who have difficulty with their daily activities. The surgery involves correcting the affected vertebrae through a variety of methods, including fusion or cervical arthroplasty, depending on the severity of the injury.

Rehabilitation is also an integral aspect of the treatment process and may include physical therapy, occupational therapy, or other forms of rehabilitation to restore the patient’s mobility and functionality.

Prevention strategies such as proper handling of heavy objects, correct technique for sports and activities, and wearing proper protective gear can all help reduce the risk of sustaining an injury that can lead to a fracture of the fifth cervical vertebra.

In summary, a fracture of the fifth cervical vertebra can be a debilitating injury that requires prompt medical attention. By understanding the diagnosis, treatment options, and prevention strategies, patients and medical professionals can work together to ensure the best possible outcome for patients with this condition.

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