S12.301D — Unspecified nondisplaced fracture of fourth cervical vertebra, subsequent encounter for fracture with routine healing
Is S12.301D billable?
Yes, but S12.301D is an unspecified code. S12.301D is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S12.301D is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S12.301D — the more specific alternatives are listed below.
More specific alternatives
- S12.34XDType III traumatic spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with routine healing
- S12.350DOther traumatic displaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with routine healing
- S12.390DOther displaced fracture of fourth cervical vertebra, subsequent encounter for fracture with routine healing
S12.301D at a glance
| Code | S12.301D |
|---|---|
| Description | Unspecified nondisplaced fracture of fourth cervical vertebra, subsequent encounter for fracture with routine healing |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter for fracture with routine healing |
What does the 7th character "D" mean in S12.301D?
In S12.301D, the 7th character D means subsequent encounter for fracture with routine healing. The 7th character is required for S12.301D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S12.301D group to?
S12.301D sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
- 560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
- 561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical
How is S12.301D listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S12.301, the nearest indexed parent of S12.301D. Use them to find the family, then select the specific code.
- Fracture, traumatic › neck › cervical vertebra › fourth › nondisplaced (abduction) (adduction) (separation)
Code first — inherited from S12
The underlying condition below must be sequenced before S12.301D. S12.301D describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside S12.301D to fully describe the condition. S12.301D is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S12.301D, but a patient may have both at the same time. When documentation supports it, S12.301D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S10-S19
The conditions below are not part of S12.301D, but a patient may have both at the same time. When documentation supports it, S12.301D and the excluded code may both be reported.
How long has S12.301D existed?
S12.301D has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.