Incomplete lesion of unsp level of lum spinal cord, sequela

This code signifies a partial injury to the lumbar spinal cord, where some neurological function below the injury level is preserved. It indicates that the patient is experiencing long-term effects or complications from a previous, now resolved, incomplete lumbar spinal cord lesion.

Assign this code when documenting the residual neurological deficits or chronic conditions resulting from an incomplete lumbar spinal cord injury. This is appropriate for follow-up encounters after the initial acute injury has healed, and the patient is dealing with ongoing sequelae such as weakness, sensory loss, or bladder/bowel dysfunction.

• Always use this code as a secondary diagnosis, following the code for the specific sequela being treated.
• Ensure documentation clearly states "incomplete lesion" and specifies the "lumbar" region of the spinal cord.
• The "S" at the end indicates a sequela code, meaning it's used for conditions that are the late effects of an injury.