MCMedicalCodingSoftware
S12.59

S12.59: Other fracture of sixth cervical vertebra

Non-billable headerICD-10-CM

S12.59 is a non-billable header ICD-10-CM code for other fracture of sixth 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 S12.59

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • M48.5Collapsed vertebra, not elsewhere classified
  • M84.3Stress fracture
  • M84.4Pathological fracture, not elsewhere classified

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S12.59

2 child codes. Green means billable.

Other codes under S12.5

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.