S14.114
Complete lesion at C4 level of cervical spinal cord
Clinical Classification Guidelines
Medical Intelligence & Overview
A complete lesion at the C4 level of the cervical spinal cord is a serious injury that affects the neck region of the spinal cord. This type of damage often results in significant loss of function below the point of injury, including potential paralysis and sensory impairments. Because the C4 level is high in the neck, injuries here can impact various bodily functions and require comprehensive medical management and rehabilitation.
Causes & Symptoms
Clinical Causes: Traumatic accidents such as falls, vehicle collisions, or sports injuries Blunt force trauma to the neck area Penetrating injuries like stab or gunshot wounds Degenerative diseases that weaken the spinal structure Infections or tumors affecting the cervical spine Congenital anomalies that predispose to spinal cord injury
Key Symptoms: Partial or complete paralysis of the neck, arms, and possibly the diaphragm Loss of sensation or altered sensation below the injury site Difficulty breathing due to compromised diaphragm function Muscle weakness or paralysis in upper and lower limbs Loss of bowel and bladder control Pain or a tingling sensation in the affected areas Potential life-threatening respiratory issues
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of medical history evaluation, physical neurological examination, and imaging studies. Key diagnostic tools include:
Treatment Protocols: Management of a complete C4 spinal cord lesion involves immediate and long-term approaches to stabilize the patient and maximize recovery where possible. Treatment options include:
Clinical Advice & FAQs
Billing Guidance
Is S14.114 a billable ICD-10 code?
Yes, S14.114 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S14.114?
Clinical documentation must specify the nature of Complete lesion at C4 level of cervical spinal cord and any associated comorbidities for accurate reporting.
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