Question regarding L1 compression fracture on MRI of the lumbar spine

[LeaG_12642]

Under impression, it says chronic-appearing L1 compression fracture. I confused on how to code this. I am assuming it would be collapsed vertebra, nec, lumbar region (M4856X) but am confused on the 7th character.

I am only coding the diagnosis for the MRI of the lumbar spine.

 

[Lori]

M48.5 Choices are:

• A, Initial encounter for closed fracture
• D, Subsequent encounter for fracture with routine healing
• G, Subsequent encounter for fracture with delayed healing
• S, Sequela
• A – Initial encounter
  • Surgical treatment
  • Emergency department encounter
  • Evaluation and treatment by a new physician
  • D – Subsequent encounter
    • Healing or recovery phase
    • Cast change or removal
    • Removal of external or internal fixation device
    • Other after-care and follow-up visits following treatment of an injury or condition
    • S – Sequela encounter
      • Complications or conditions that arise as a direct result of a condition
        • An example, again, would be scar formation after a burn. The scars are sequela of the burn.

Fracture resource thread:

Resource - Fracture coding

You always need to have supporting documentation to code. Type of fracture – closed, open, displaced, nondisplaced Specific anatomical site Laterality Routine versus delayed healing Nonunion Malunion Type of encounter – initial, subsequent, sequela...

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7th character thread:

Resource - ICD-10-CM 7th Character

7th Characters Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a...

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