AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 3; Ask the Editor

Spondylolisthesis with Pars Fracture

The provider documented, “Displaced pars fractures of L5 with resulting isthmic spondylolisthesis (vertebral slippage) of L5-S1 due to the fractures.” Research indicates the terms pars fracture, pars defect and spondylolysis are often used interchangeably. In this case, neither spondylolysis nor pars defect were documented. Additionally, the term “pars defect” is not indexed. Is a pars fracture considered spondylolysis? What ICD-10-CM code(s) is assigned for the L5 pars fracture? ...

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