Central cord syndrome at C7, sequela

This code signifies the long-term effects or complications arising from central cord syndrome affecting the C7 level of the cervical spinal cord. Central cord syndrome typically involves greater motor impairment in the upper extremities than in the lower extremities, along with varying degrees of sensory loss and bladder dysfunction. "Sequela" indicates that this code is used for conditions that are residual or chronic after the initial injury has healed.

Apply this code when documenting the chronic neurological deficits or persistent symptoms directly attributable to a past central cord syndrome injury at the C7 level. This is appropriate for follow-up encounters where the patient is being treated for the lasting impact of the injury, rather than the acute injury itself. Documentation should clearly state "sequela," "late effect," or describe chronic neurological deficits linked to a prior C7 central cord syndrome.

• Always use this code with an additional code(s) to specify the nature of the sequela (e.g., muscle weakness, sensory deficits, spasticity).
• Do not use this code for acute central cord syndrome; refer to codes in the S14.12- series without the "S" seventh character for initial or subsequent encounters for the acute injury.
• Ensure the medical record explicitly links the current condition to a previous central cord syndrome at C7.