Question: I’m a little unclear on spinal compression fractures. What exactly are they, and how do I spot them in the encounter notes? Further, what are some ICD-10 codes that reflect compression fracture? I’ve not found the term in the ICD-10 book. Wisconsin Subscriber Answer: Compression fracture typically occurs when one or more bones in the spine weaken and crumple, says Nate Felt, MS, ATC, PTA, CPC, of Utah-based Intermountain Medical Group. Compression fractures can be due to trauma or be caused by a loss of bone mass — osteoporosis — that occurs as a part of aging. “Something as simple as a cough or lifting a heavy object may cause a compression fracture,” explains Felt. Cathy Satkus, CPC, COBGC, of Harvard Family Physicians in Tulsa, Oklahoma, recommends that coders look at it this way: