Concussion and edema of sacral spinal cord, sequela

This code describes the long-term effects or complications arising from a past injury to the sacral spinal cord, specifically involving both a concussion (a temporary disturbance of function) and swelling (edema). These sequelae indicate persistent neurological deficits or symptoms attributable to the original trauma.

Use this code when documenting a patient presenting with ongoing neurological issues, pain, or functional limitations in the sacral region that are directly attributed to a previous concussion and edema of the sacral spinal cord. This applies when the acute injury has resolved, but its lasting impact is still being managed.

• Always assign this code as a secondary diagnosis, following the code for the specific sequela being treated.
• Ensure documentation clearly links the current condition to the prior sacral spinal cord concussion and edema.
• Do not use for acute injuries; this code is exclusively for the late effects of the initial trauma.