Complete lesion of L5 level of lumbar spinal cord, sequela

This code signifies a complete transection or severe damage to the L5 spinal cord segment, resulting in a total loss of motor and sensory function below that level. As a sequela code, it indicates the long-term effects or complications arising from an initial injury to the L5 spinal cord. Patients typically present with paralysis and anesthesia affecting the lower extremities and pelvic organs, consistent with an L5 lesion.

Apply this code for the permanent neurological deficits and chronic conditions stemming from a past complete L5 spinal cord injury. This is appropriate for follow-up encounters, rehabilitation admissions, or any time the long-term consequences of the complete L5 lesion are being addressed. It should not be used for the initial acute injury.

• Always assign this code as a secondary diagnosis, following a code for the underlying cause of the spinal cord injury (e.g., fracture, dislocation).
• Ensure documentation clearly specifies "complete lesion" and the L5 level, along with the "sequela" nature of the encounter.
• Do not use this code for incomplete lesions; a different code from the S34.11- series would be appropriate for partial damage.