![]() ![]() In a Type II fracture, the most common type, the peg is broken at its base. In a Type I odontoid fracture, just the tip of the bone is broken. according to ICD-10,33 Head Injury Severity Scale (HISS),34 preoperative. In an odontoid fracture, that peg of bone is broken. odontoid fractures, which divided the fractures into type I, II and III 8 type. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. The odontoid process sticks up from the front of C2 and fits into a groove in C1. POA Indicators on CMS form 4010A are as follows: Indicatorĭiagnosis was present at time of inpatient admissionĭiagnosis was not present at time of inpatient admissionĭocumentation insufficient to determine if the condition was present at the time of inpatient admission.Ĭlinically undetermined. A 'billable code' is detailed enough to be used to specify a medical diagnosis. Z87.311 is a billable ICD code used to specify a diagnosis of personal history of (healed) other pathological fracture. ICD-10 code S12. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A. Find a Doctor Find a Doctor Related Specialties Spine Disorders Odontoid A peg-like part of the second bone in the neck Fracture A break in a bone A type II odontoid fracture is a break that occurs through a specific part of C2, the second bone in the neck. 1980 66(3):183-6.POA Exempt Code The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. Roy-Camille R, Saillant G, Judet T, de Botton G, Michel G. Type II Odontoid Fractures in the Elderly: An Evidence-Based Narrative Review of Management. Reliability and Reproducibility of Dens Fracture Classification with Use of Plain Radiography and Reformatted Computer-Aided Tomography. Barker L, Anderson J, Chesnut R, Nesbit G, Tjauw T, Hart R. Vertically Unstable Type III Odontoid Fractures: Case Report. Jea A, Tatsui C, Farhat H, Vanni S, Levi A. Odontoid Fractures: Update on Management. It can be associated with atlantoaxial instability. doi:10.1097/BSD.0b013e31815adeb5 - Pubmed Os odontoideum (plural: ossa odontoidea) is an anatomic variant of the odontoid process of C2 and needs to be differentiated from persistent ossiculum terminale and from a type 2 odontoid fracture. The Utility of MRI in the Evaluation of Odontoid Fractures. ![]()
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