Anterior cord syndrome at C4, subs

This code describes a specific type of incomplete spinal cord injury affecting the anterior two-thirds of the C4 level of the cervical spinal cord. It results in motor paralysis, loss of pain and temperature sensation below the lesion, but preserves proprioception, vibration, and touch. This particular code indicates that the patient is in the healing or recovery phase of the injury.

Use this code for patients receiving follow-up care for anterior cord syndrome specifically localized to the C4 cervical level. This includes rehabilitation, medication management, or monitoring of neurological deficits after the initial acute treatment. Documentation should clearly specify "anterior cord syndrome," "C4 level," and indicate that it is a subsequent encounter.

• Ensure documentation specifies "anterior cord syndrome" and not other incomplete spinal cord syndromes (e.g., central cord, Brown-Séquard).
• Verify the specific cervical level (C4) is documented; do not use for unspecified or other cervical levels.
• The "D" seventh character indicates a subsequent encounter, meaning the patient is receiving routine care during the healing or recovery phase. Do not use for initial treatment or sequelae.