S14.116
Complete lesion at C6 level of cervical spinal cord
Clinical Classification Guidelines
Medical Intelligence & Overview
A complete lesion at the C6 level of the cervical spinal cord indicates a severe injury that affects the spinal cord at the sixth cervical vertebra. This type of injury results in significant neurological impairment, often leading to paralysis or weakness in parts of the body below the level of the injury. The cervical spinal cord plays a crucial role in transmitting signals between the brain and the upper limbs, neck, and diaphragm, making injuries at this level particularly impactful. Recognizing the nature of such injuries helps in understanding potential challenges and possible pathways for management and recovery.
Causes & Symptoms
Clinical Causes: Traumatic events such as vehicle accidents, falls, or sports injuries Penetrating injuries like stab or gunshot wounds Degenerative diseases affecting the spinal vertebrae or discs Tumors pressing on or invading the spinal cord Infections such as meningitis or abscesses compromising the spinal cord Inflammatory conditions like multiple sclerosis
Key Symptoms: Loss of motor function or paralysis in the arms, hands, and possibly the legs Loss of sensation including touch, pain, and temperature below the level of injury Weakness or paralysis of the diaphragm leading to respiratory difficulties Loss of bowel and bladder control Reduced or absent reflexes in affected areas Muscle spasms or increased muscle tone Pain or tingling sensations along the nerves
Diagnostic & Treatment
Diagnosis Path: Diagnosing a complete C6 spinal cord lesion involves a combination of clinical evaluation and diagnostic tests. Medical professionals typically perform a detailed neurological examination to assess motor and sensory functions. Imaging studies play a critical role, with MRI being the preferred modality to visualize the extent of spinal cord injury and associated damage. X-rays and CT scans may also be used to evaluate injury to the vertebral bones. Neurological assessments and electromyography (EMG) can provide additional information about nerve and muscle function.
Treatment Protocols: While this overview does not provide specific medical guidance, treatments for C6 spinal cord injuries generally aim to stabilize the spine, prevent further injury, and manage symptoms. Immediate care may involve immobilization and surgical procedures to decompress the spinal cord or stabilize the vertebrae. Long-term management includes physical therapy to maintain function and prevent complications, occupational therapy to support daily activities, and assistive devices. Medications like corticosteroids may be used in the acute phase to reduce inflammation. In some cases, advanced interventions such as electrical stimulation, regenerative therapies, or experimental treatments may be considered. Multidisciplinary care teams are essential for addressing the complex needs associated with high-level spinal cord injuries.
Clinical Advice & FAQs
Billing Guidance
Is S14.116 a billable ICD-10 code?
Yes, S14.116 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S14.116?
Clinical documentation must specify the nature of Complete lesion at C6 level of cervical spinal cord and any associated comorbidities for accurate reporting.
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