S12.491S — Other nondisplaced fracture of fifth cervical vertebra, sequela
Is S12.491S billable?
Yes — S12.491S is billable for FY2027. S12.491S is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S12.491S may be submitted for encounters from October 1, 2026 through September 30, 2027.
S12.491S at a glance
| Code | S12.491S |
|---|---|
| Description | Other nondisplaced fracture of fifth cervical vertebra, sequela |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "S" | sequela |
What does the 7th character "S" mean in S12.491S?
In S12.491S, the 7th character S means sequela. The 7th character is required for S12.491S to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S12.491S group to?
S12.491S sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 551Medical Back Problems with MCCmedical
- 552Medical Back Problems without MCCmedical
How is S12.491S listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S12.491, the nearest indexed parent of S12.491S. Use them to find the family, then select the specific code.
- Fracture, traumatic › neck › cervical vertebra › fifth › specified type NEC › nondisplaced (abduction) (adduction) (separation)
Code first — inherited from S12
The underlying condition below must be sequenced before S12.491S. S12.491S describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside S12.491S to fully describe the condition. S12.491S 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 S12.491S, but a patient may have both at the same time. When documentation supports it, S12.491S and the excluded code may both be reported.
Excludes2 — not included here — inherited from S10-S19
The conditions below are not part of S12.491S, but a patient may have both at the same time. When documentation supports it, S12.491S and the excluded code may both be reported.
How long has S12.491S existed?
S12.491S 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.