ICD Code S32.010A

ICD code S32.010A is a diagnosis code used to indicate a wedge compression fracture of the first lumbar vertebra, during the patient's initial encounter for a closed (not open) fracture.

1. Patient presents with acute back pain following trauma or injury.

2. Imaging studies (such as X-ray, CT, or MRI) confirm a wedge-shaped compression fracture of the first lumbar vertebra (L1).

3. No evidence of open wound or bone exposure at the fracture site (closed fracture).

4. This is the patient’s initial encounter for evaluation and management of the injury.

5. Clinical assessment may reveal localized tenderness, decreased range of motion, and possible neurological symptoms depending on severity.

6. No prior treatment has been rendered for this specific fracture.

Relevant CPT codes for ICD S32.010A include:

- 22310 (Closed treatment of vertebral body fracture(s), without manipulation)

- 22315 (Open treatment and/or reduction of vertebral fracture(s))

- 22513 (Percutaneous vertebral augmentation, including cavity creation, lumbar)

- 22514 (Percutaneous vertebral augmentation, each additional vertebral body, lumbar)

- 22532 (Arthrodesis, posterior or posterolateral technique, single vertebral segment, lumbar)

- 27299 (Unlisted procedure, pelvis or hip joint, may be used if no other code is appropriate)

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