Central cord syndrome at C2, subs

This code signifies a diagnosis of central cord syndrome affecting the C2 level of the cervical spinal cord. This condition typically results from hyperextension injuries, leading to greater motor impairment in the upper extremities than the lower extremities, with variable sensory loss and bladder dysfunction.

Apply this code for follow-up encounters when a patient is receiving active treatment for central cord syndrome at the C2 level, or during the healing phase. Documentation should clearly indicate the C2 level involvement and the "subsequent encounter" status, such as ongoing therapy, medication management, or follow-up appointments after initial treatment.

• Ensure documentation specifies "C2 level" and "central cord syndrome" to differentiate from other spinal cord injuries.
• The "D" seventh character indicates a subsequent encounter, used for encounters after the active treatment phase but while the patient is still receiving care related to the injury.
• Do not confuse with "A" (initial encounter) or "S" (sequela) seventh characters; choose based on the patient's current phase of care.