Complete lesion at unsp level of cervical spinal cord, subs

This code signifies a complete transection or severe disruption of the cervical spinal cord, resulting in a total loss of motor and sensory function below the injury level. It indicates that the patient is in the healing phase or receiving ongoing treatment for this specific injury.

Apply this code for follow-up encounters, such as rehabilitation sessions, medication management, or evaluations of long-term complications, after the initial treatment of a complete cervical spinal cord injury. Documentation should clearly state "complete lesion," "cervical spinal cord," and indicate a subsequent encounter.

• Ensure documentation specifies "complete lesion" and the cervical region; avoid using for incomplete injuries.
• The "D" seventh character indicates a subsequent encounter; do not use for initial treatment or sequelae.
• Always code any associated neurological deficits or complications (e.g., quadriplegia) in addition to this injury code.