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S12 ICD-10-CM Code: Fracture of cervical vertebra and other parts of neck

ICD-10-CM Code View

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the neck (S10-S19)

S12

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Fracture of cervical vertebra and other parts of neck

Fracture of cervical vertebra and other parts of neck

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
S1Injuries to the neck (S10-S19)
S12Fracture of cervical vertebra and other parts of neck

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S12 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S12 in this effective period.

Related Child Codes

Official
S12.0Fracture of first cervical vertebra
S12.1Fracture of second cervical vertebra
S12.2Fracture of third cervical vertebra
S12.3Fracture of fourth cervical vertebra
S12.4Fracture of fifth cervical vertebra

Includes

Official
  • fracture of cervical neural arch
  • fracture of cervical spine
  • fracture of cervical spinous process
  • fracture of cervical transverse process
  • fracture of cervical vertebral arch

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S12 in this effective period.

Code First

Official
  • any associated cervical spinal cord injury (S14.0, S14.1-)

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S12 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S12 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

S12 is the ICD-10-CM diagnosis code for fracture of cervical vertebra and other parts of neck. S12 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the neck (s10-s19).

Header codes like S12 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S12's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S12 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • 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

Code First

  • any associated cervical spinal cord injury (S14.0, S14.1-)

Child Codes

Code Hierarchy

S12Fracture of cervical vertebra and other parts of neck
S12Fracture of cervical vertebra and other parts of neck

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