Alphabetic Index FY2027

S12.500D

Unspecified displaced fracture of sixth cervical vertebra, subsequent encounter for fracture with routine healing

FY2027Chapter 19: Injury, poisoning and certain other consequences of external causes/S10–S19 Injuries to the neck

BillableComplete code, valid to report
Care settingsHome Health Primary · Musculoskeletal Rehabilitation

S12.500D (also written S12500D) is a billable ICD-10-CM diagnosis code for unspecified displaced fracture of sixth cervical vertebra, subsequent encounter for fracture with routine healing. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 420 codes in category S12 (Fracture of cervical vertebra and other parts of neck). The Alphabetic Index lists it under 1 entry. Its 7th character, D, means subsequent encounter for fracture with routine healing. Its coding notes include a Code first instruction, a Use additional code instruction and 9 Excludes2 entries.

7th character

Category S12 requires a 7th character.

Assembled code S12.500D Open code

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

A fracture not stated as open or closed is coded closed, and one not stated as displaced or not displaced is coded displaced. Nonunion and malunion have their own 7th characters.

Guidelines I.C.19.cTraumatic fractures: open, closed, displaced and 7th charactersRead the official text

The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.

Guidelines I.C.19.aInjuries: application of 7th charactersRead the official text

Each injury gets its own code unless a combination code exists, with the most serious injury first. Superficial injuries at the same site as a more severe injury are not coded. Injuries during medical care are coded as complications.

Guidelines I.C.19.bCoding of injuriesRead the official text

Code first

If the underlying condition listed here is present and known, sequence it first.

Inherited from S12 Fracture of cervical vertebra and other parts of neck
  • any associated cervical spinal cord injury (S14.0, S14.1-)

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (1 note)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (9 notes)
Inherited from S10–S19 Injuries to the neck
  • burns and corrosions (T20-T32)
  • effects of foreign body in esophagus (T18.1)
  • effects of foreign body in larynx (T17.3)
  • effects of foreign body in pharynx (T17.2)
  • effects of foreign body in trachea (T17.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Musculoskeletal Rehabilitation clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Inherited from S12 Fracture of cervical vertebra and other parts of neck
  • fracture of cervical neural arch
  • fracture of cervical spine
  • fracture of cervical spinous process
  • fracture of cervical transverse process
  • fracture of cervical vertebral arch
  • fracture of neck
Also from chapter/block level (3 notes)
Inherited from S10–S19 Injuries to the neck
  • injuries of nape
  • injuries of supraclavicular region
  • injuries of throat

Notes

Inherited from S12 Fracture of cervical vertebra and other parts of neck
  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed
Also from chapter/block level (2 notes)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

Alphabetic Index terms

Terms the official Alphabetic Index lists for S12.500. This code adds the 7th character. 1 entry