Unsp injury at T2-T6 level of thoracic spinal cord, sequela

This code signifies a long-term or late-effect condition resulting from an unspecified injury to the thoracic spinal cord between the T2 and T6 vertebral levels. The initial injury has resolved, but its lasting consequences are now being addressed.

Apply this code when documenting follow-up care for chronic neurological deficits, pain, or functional limitations directly attributable to a past, unspecified spinal cord injury in the T2-T6 region. This is appropriate for patients presenting for rehabilitation, ongoing management of paralysis, or sensory disturbances years after the initial trauma.

• Always use this code as a secondary diagnosis, following a code for the specific sequela being treated (e.g., paralysis, chronic pain).
• Ensure documentation clearly links the current condition to a previous, unspecified spinal cord injury at the T2-T6 level.
• Avoid using this code for acute injuries; it is exclusively for sequelae.