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S22.060A
ICD-10-CM
T6 Compression Fracture

Find information on T6 compression fracture diagnosis, including clinical documentation requirements, ICD-10 codes (M48.4), medical coding guidelines, and healthcare resources. Learn about symptoms, treatment options, and best practices for documenting a T6 vertebral compression fracture in patient charts and medical records. This resource provides guidance for physicians, coders, and other healthcare professionals seeking accurate and comprehensive information on T6 compression fractures.

Also known as

Thoracic Vertebrae T6 Fracture
T5-T6 Compression Fracture

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S22.060A Coding
S22.0-S22.1

Fracture of thoracic vertebra

Fractures of the thoracic spine, including compression fractures.

S32.0-S32.1

Fracture of lumbar vertebra

Fractures of the lumbar spine, including compression fractures.

M48.4

Collapsed vertebra

Generalized osteoporosis with compression fractures.

M80.-

Osteoporosis with current pathological fracture

Osteoporosis causing fractures in various locations, including compression fractures.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Traumatic fracture?

Code Comparison

Related Codes Comparison

When to use each related code

Description
T6 Compression Fracture
T6 Vertebral Fracture NOS
Thoracic Vertebral Fracture

Documentation Best Practices

Documentation Checklist
  • T6 compression fracture diagnosis
  • Document mechanism of injury
  • Specify acute or chronic fracture
  • Neurological exam findings required
  • Image study confirming T6 fracture
  • Pain level and location documented

Coding and Audit Risks

Common Risks
  • Unspecified Location

    Coding T6 fracture without specifying the vertebra level (e.g., T6-T7) can lead to claim rejections and inaccurate severity reflection.

  • Traumatic vs. Pathologic

    Failing to distinguish between traumatic and pathologic fractures (e.g., due to osteoporosis) impacts coding accuracy and reimbursement.

  • Documentation Clarity

    Insufficient documentation of the fracture type (compression, burst, etc.) and associated complications can lead to coding errors and compliance issues.

Mitigation Tips

Best Practices
  • ICD-10-CM S22.1XXA, S22.1XXD accurate coding for T6 fx
  • Document pain level, neuro exam for CDI, HCC capture
  • Fall risk assessment, bone density testing for compliance
  • Bracing, pain management improve patient outcomes, reduce costs
  • Timely follow-up, PT referral for optimal healing, coding accuracy

Clinical Decision Support

Checklist
  • Verify trauma history or osteoporosis risk factors documented
  • Confirm T6 level specified in imaging report
  • Check for documentation of pain, tenderness, or deformity
  • Assess neurological exam findings and document
  • Review bone density scan if available and document

Reimbursement and Quality Metrics

Impact Summary
  • T6 Compression Fracture Reimbursement: Coding accuracy impacts MS-DRG assignment (e.g., 559, 560) affecting hospital payments.
  • Quality Metrics Impact: Pain management documentation affects patient satisfaction scores and hospital quality reporting.
  • Coding: Accurate ICD-10-CM (S22.0XXA, M48.5XXA) and CPT coding crucial for proper reimbursement and data analysis.
  • Reporting: Timely and accurate documentation impacts hospital Value-Based Purchasing and public quality reporting.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code T6 fracture specificity
  • Document mechanism of injury
  • Query physician for acuity

Documentation Templates

Patient presents with complaints consistent with a T6 compression fracture.  Onset of mid-back pain is reported as [acute/subacute/chronic] and localized to the thoracic spine at the level of T6.  Pain quality is described as [sharp, dull, aching, burning, radiating] and exacerbated by [flexion, extension, rotation, coughing, sneezing, deep breathing].  Patient denies [or reports] any history of trauma, osteoporosis, malignancy, or prolonged steroid use.  Physical examination reveals [point tenderness, paraspinal muscle spasm, limited range of motion, neurological deficits if present - specify].  Imaging studies including [X-ray, CT scan, MRI] of the thoracic spine confirm a compression fracture at the T6 vertebral body.  The fracture is characterized as [mild, moderate, severe] with [wedge, biconcave, crush] deformity.  No evidence of retropulsion or spinal cord compromise is observed.  Assessment: T6 compression fracture.  Plan: Conservative management including pain control with [analgesics, NSAIDs, muscle relaxants], bracing for spinal stabilization, and physical therapy for strengthening and range of motion improvement.  Patient education provided on proper body mechanics and fall prevention strategies.  Follow-up scheduled in [timeframe] to monitor healing and functional recovery.  Differential diagnoses considered included:  osteoporotic fracture, traumatic fracture, pathologic fracture, and musculoskeletal strain.  ICD-10 code [S22.1XXA, S22.1XXD, S22.1XXS - specify based on laterality and episode of care].