Oth incomplete lesion at C2, init

This code signifies an incomplete spinal cord injury affecting the C2 vertebral level, where some motor or sensory function below the injury site is preserved. It indicates damage to the spinal cord at C2 that is not a complete transection, allowing for partial neurological function.

Use this code for the initial encounter of a patient presenting with an incomplete cervical spinal cord injury specifically at the C2 level. Documentation should clearly state an incomplete lesion and specify the C2 level, often supported by neurological examination findings (e.g., ASIA Impairment Scale).

• Ensure the documentation specifies "incomplete" and the C2 level; avoid using for complete lesions or unspecified levels.
• The "A" suffix indicates an initial encounter; subsequent care for this injury will require different seventh characters.
• Always code any associated external cause of injury (e.g., fall, motor vehicle accident) in addition to this diagnosis.