F31.9 - Bipolar disorder, unspecified

Clinical Definition

An acute encounter for a displaced fracture of the transverse process of an unspecified lumbar vertebra. This involves a break in one of the bony projections that extends laterally (sideways) from the vertebral body in the lower back.

Documentation Requirements

• Acuity: Must specify:

  • Initial encounter vs. subsequent vs. sequela

  • Acute vs. chronic

• Displacement Status: Must document if:

  • Displaced

  • Non-displaced

• Location Details:

  • Specific lumbar vertebra (L1-L5 if known)

  • Laterality (left/right) when applicable

• Encounter Type: Initial vs follow-up care

• Healing Status: Routine vs delayed healing

• Complications: Any associated neurological deficits

Common Synonyms

• "Broken back process"

• "Fractured wing of vertebra"

• "Broken side portion of spine"

• "Lumbar process fracture"

Coding Conflicts

Excludes1:

• Fracture of vertebral arch (S32.00-)

• Fracture of vertebral body (S32.00-)

• Fracture of spinous process (S32.00-)

Scribing.io Automation

The AI scribe automatically identifies and captures:

• Key terms like "displaced," "transverse process," and "lumbar"

• Anatomical specificity when mentioned

• Encounter type language

• Healing status descriptors

• Maps patient language to clinical terminology

• Flags missing required elements in real-time for physician follow-up