M48.51XA
Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, initial encounter for fracture
HCC risk adjustment mapping
CMS-HCC V28
Vertebral Fractures without Spinal Cord Injury
CMS-HCC ESRD V24
Vertebral Fractures without Spinal Cord Injury
RxHCC V08
Osteoporosis, Vertebral and Pathological Fractures
Coding notes
Excludes 1 never coded together · Excludes 2 may co-exist
current injury - see Injury of spine, by body region fatigue fracture of vertebra (M48.4) pathological fracture of vertebra due to neoplasm (M84.58) pathological fracture of vertebra due to other diagnosis (M84.68) pathological fracture of vertebra due to osteoporosis (M80.-) pathological fracture NOS (M84.4-) stress fracture of vertebra (M48.4-) traumatic fracture of vertebra (S12.-, S22.-, S32.-)
Collapsed vertebra NOS Compression fracture of vertebra NOS Wedging of vertebra NOS
The appropriate 7th character is to be added to each code from subcategory M48.5:
| Character | Meaning |
|---|---|
| A | initial encounter for fracture |
| D | subsequent encounter for fracture with routine healing |
| G | subsequent encounter for fracture with delayed healing |
| S | sequela of fracture |
arthropathic psoriasis (L40.5-) certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) compartment syndrome (traumatic) (T79.A-) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition (M00-M25) Arthropathies (M00-M25) Includes: Disorders affecting predominantly peripheral (limb) joints (M40-M54) Dorsopathies (M40-M54) (M60-M79) Soft tissue disorders (M60-M79) (M80-M94) Osteopathies and chondropathies (M80-M94)