ICD-10-CM Billable Code

S14.113

Complete lesion at C3 level of cervical spinal cord

Clinical Classification Guidelines

Medical Intelligence & Overview

A complete lesion at the C3 level of the cervical spinal cord is a serious medical condition resulting from damage to the spinal cord at the third cervical vertebra. This type of injury can lead to significant impairments in movement and sensation, often affecting a person's ability to perform everyday activities. Such injuries are classified under the ICD-10 code S14.113 and are considered severe due to the complete disruption of nerve signals passing through this part of the spinal cord.

Causes & Symptoms

Clinical Causes: Traumatic incidents such as motor vehicle accidents or falls Penetrating injuries like gunshot or stabbing wounds Neck hyperextension injuries during falls or impacts Sports injuries leading to cervical spine trauma Degenerative conditions causing weakening of the cervical vertebrae Tumors or infections affecting the cervical spinal cord Sudden neck movements during accidents or physical trauma

Key Symptoms: Loss of sensory functions below the level of injury, including touch, pain, and temperature sensation Weakness or paralysis in the arms and legs (paraplegia or quadriplegia) Impaired or absent reflexes in the affected limbs Difficulty breathing or compromised respiratory function due to impact on the cervical region Loss of bladder and bowel control Reduced or absent sensation in the neck, shoulders, and arms Muscle spasms or stiffness in the affected areas Pain or abnormal sensations in the neck or limbs

Diagnostic & Treatment

Diagnosis Path: Medical history and physical examination to assess motor and sensory function Imaging tests such as MRI or CT scans to visualize the extent and location of spinal cord damage Neurological evaluation to determine the severity and specific impacts of the injury Electrophysiological tests (e.g., somatosensory evoked potentials) may be utilized to assess nerve pathway integrity

Treatment Protocols: Emergency stabilization of the cervical spine using immobilization devices Surgical interventions to remove bone fragments, relieve pressure, or stabilize the spine Intensive care support to assist with breathing and prevent complications Rehabilitation therapies including physical and occupational therapy to maximize functional recovery Management of bladder and bowel functions, often involving catheterization and dietary adjustments Medications to reduce inflammation and support nerve healing, as prescribed by healthcare professionals Psychological support and counseling for emotional and mental well-being

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S14.113 a billable ICD-10 code?
Yes, S14.113 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S14.113?
Clinical documentation must specify the nature of Complete lesion at C3 level of cervical spinal cord and any associated comorbidities for accurate reporting.

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