S12.8XXA — Fracture of other parts of neck, initial encounter
S12.8XXA is a billable, specific ICD-10-CM code for fracture of other parts of neck, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to code S12.8
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Fracture of hyoid bone
- Fracture of larynx
- Fracture of thyroid cartilage
- Fracture of trachea
Risk adjustment
S12.8XXA 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
S12.8XXA is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57205Billing and Coding: Oximetry Services
- A57311Billing and Coding: Physical Therapy - Home Health
- A57326Billing and Coding: Electrocardiograms
Related codes at this level
Codes that share S12.8. If S12.8XXA is not quite right, the correct code is usually one of these.
Questions about S12.8XXA
- Is S12.8XXA a billable ICD-10-CM code?
- Yes. S12.8XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S12.8XXA 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).