S12.9XXS
S12.9XXS: Fracture of neck, unspecified, sequela
Billable / specific codeICD-10-CMPOA exempt
S12.9XXS is a billable, specific ICD-10-CM code for fracture of neck, unspecified, sequela. It is valid for submission on a claim.
Check S12.9XXS with the rest of the claim: free scrubber7th character "S": sequela
The appropriate 7th character is to be added to code S12.9
- 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 neck NOS
- Fracture of cervical spine NOS
- Fracture of cervical vertebra NOS
Other codes that can never be billed with S12.9XXS
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.
Medicare coverage
S12.9XXS is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53065Billing and Coding: Outpatient Physical Therapy
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57311Billing and Coding: Physical Therapy - Home Health
- A59608Billing and Coding: Cervical Fusion
Code history
Unchanged in every release from FY2024 to FY2027.