ICD-10 category · Chapter XIX · S10-S19
S12 Fracture of neck
19 codes under S12 in the South African Master Industry Table 2021, 12 valid for clinical use; 12 marked as a Prescribed Minimum Benefit.
| Code | Description | Use | Benefits |
|---|---|---|---|
| S12 | Fracture of neck | Heading only | — |
| S12.0 | Fracture of first cervical vertebra | Heading only | — |
| S12.00 | Fracture of first cervical vertebra, closed | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation |
| S12.01 | Fracture of first cervical vertebra, open | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisationPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S12.1 | Fracture of second cervical vertebra | Heading only | — |
| S12.10 | Fracture of second cervical vertebra, closed | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation |
| S12.11 | Fracture of second cervical vertebra, open | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisationPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S12.2 | Fracture of other specified cervical vertebra | Heading only | — |
| S12.20 | Fracture of other specified cervical vertebra, closed | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation |
| S12.21 | Fracture of other specified cervical vertebra, open | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisationPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S12.7 | Multiple fractures of cervical spine | Heading only | — |
| S12.70 | Multiple fractures of cervical spine, closed | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation |
| S12.71 | Multiple fractures of cervical spine, open | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisationPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S12.8 | Fracture of other parts of neck | Heading only | — |
| S12.80 | Fracture of other parts of neck, closed | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation |
| S12.81 | Fracture of other parts of neck, open | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 12C Deep open wound of neck, including larynx; fracture of larynx or trachea, open · Medical and surgical management; ventilationPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisationPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S12.9 | Fracture of neck, part unspecified | Heading only | — |
| S12.90 | Fracture of neck, part unspecified, closed | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 months |
| S12.91 | Fracture of neck, part unspecified, open | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
Prescribed Minimum Benefits in S12. A medical scheme must fund the diagnosis, treatment and care of a PMB condition in full, within its rules on designated providers and treatment protocols. The PMB code and treatment component beside each code come from the Council for Medical Schemes’ PMB Coded List; the scheme decides whether a given claim qualifies.
Source and terms
Reproduced from the national table, unaltered.
The Department publishes the table for the industry to load. The ICD-10 Master Industry Table page
Codes and descriptions: ICD-10 Master Industry Table (MIT) 2021, published 16 March 2021 by the National Department of Health, Republic of South Africa. ® National Department of Health: all rights reserved. Reproduced for reference without alteration.
ICD-10 is the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, © World Health Organization. The WHO ICD-10 descriptions appear as published in the MIT.
Prescribed Minimum Benefit (PMB) and Chronic Disease List (CDL) markers: Council for Medical Schemes, PMB Coded List, as read by GreenNotes. Benefit decisions rest with each medical scheme.
Source file: ICD-10_MIT_2021_Excel_16-March_2021.xlsx. Found an error in a code or description? Write to help@greennotes.co.za.
This lookup is a reference to the published code table, not coding advice. Code assignment is the treating practitioner’s responsibility, following the South African ICD-10 Coding Standards and Guidelines and the WHO ICD-10 volumes. GreenNotes does not warrant that the table is complete or current.
This is the South African table. Most ICD-10 results online are the United States’ ICD-10-CM, a different code set that South African medical schemes do not accept. Regulation 5 of the General Regulations under the Medical Schemes Act requires the diagnostic code on every account, and the Master Industry Table is the list it is coded from.
In GreenNotes
Code the consultation once. The invoice and the claim pick it up.
GreenNotes looks codes up from this same table while you write the consultation. The codes you record there, including any the clinical AI included for your review, carry into the invoice and the medical-aid claim.