S12.491
S12.491: Other nondisplaced fracture of fifth cervical vertebra
Non-billable headerICD-10-CM
S12.491 is a non-billable header ICD-10-CM code for other nondisplaced fracture of fifth cervical vertebra. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to all codes from subcategories S12.0-S12.6
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- S
- sequela
Other codes that can never be billed with S12.491
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Fracture, traumatic›neck›cervical vertebra›fifth›specified type NEC›nondisplaced
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S12.491
6 child codes. Green means billable.
- S12.491AOther nondisplaced fracture of fifth cervical vertebra, initial encounter for closed fracture
- S12.491BOther nondisplaced fracture of fifth cervical vertebra, initial encounter for open fracture
- S12.491DOther nondisplaced fracture of fifth cervical vertebra, subsequent encounter for fracture with routine healing
- S12.491GOther nondisplaced fracture of fifth cervical vertebra, subsequent encounter for fracture with delayed healing
- S12.491KOther nondisplaced fracture of fifth cervical vertebra, subsequent encounter for fracture with nonunion
- S12.491SOther nondisplaced fracture of fifth cervical vertebra, sequela