Closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury

This code signifies a break in one of the thoracic vertebrae (T1-T12) that does not involve an open wound and, importantly, has no associated damage to the spinal cord. It describes a stable fracture of the upper to mid-back region without neurological compromise.

Apply this code when documentation clearly indicates a closed fracture of a dorsal (thoracic) vertebra, such as a compression fracture or burst fracture, and explicitly states or implies the absence of spinal cord injury. This is typically supported by imaging reports (X-ray, CT, MRI) confirming the fracture and clinical notes ruling out neurological deficits.

• Differentiate carefully from fractures with spinal cord injury (codes in the 806 series) or open fractures (codes in the 805.0-805.1 series).
• Ensure the documentation specifies the thoracic region; do not use for cervical or lumbar vertebral fractures.
• Always review the entire medical record for any mention of neurological symptoms or deficits before assigning this code.