Is S12.591A a billable ICD-10-CM code?

Yes. S12.591A is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S12.591A sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the neck (S10-S19).

S12.591A

S12.591A — Other nondisplaced fracture of sixth cervical vertebra, initial encounter for closed fracture

Billable / specific codeICD-10-CM

S12.591A is a billable, specific ICD-10-CM code for other nondisplaced fracture of sixth cervical vertebra, initial encounter for closed fracture. It is valid for submission on a claim.

7th character "A" — initial encounter for closed fracture

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

Risk adjustment

S12.591A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 401 Vertebral Fractures without Spinal Cord Injury0.522 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

S12.591A is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57132Billing and Coding: Bone Mass Measurement
A57132Billing and Coding: Bone Mass Measurement
A57204Billing and Coding: MRI and CT Scans of the Head and Neck
A57205Billing and Coding: Oximetry Services

Related codes at this level

Codes that share S12.591. If S12.591A is not quite right, the correct code is usually one of these.

Questions about S12.591A

Is S12.591A a billable ICD-10-CM code?: Yes. S12.591A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S12.591A sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the neck (S10-S19).