Sacral spinal cord injury without evidence of spinal bone injury

This code signifies a traumatic injury to the sacral region of the spinal cord where diagnostic imaging (e.g., X-ray, CT, MRI) does not reveal any fracture, dislocation, or other structural damage to the sacral vertebrae. It indicates neurological deficits referable to the sacral cord segments despite an intact bony spinal column.

Use this code for patients presenting with signs and symptoms of sacral spinal cord dysfunction (e.g., bowel/bladder incontinence, saddle anesthesia, lower extremity weakness) following trauma, when imaging studies confirm the absence of sacral vertebral injury. Documentation should clearly state the mechanism of injury, neurological findings, and negative imaging results for bone pathology.

• Differentiate from spinal cord contusion with bone injury (e.g., fracture) in the sacral region.
• Ensure documentation explicitly states "without evidence of spinal bone injury" or similar phrasing.
• Sequence this code after any acute traumatic injury code (e.g., fall, motor vehicle accident) if applicable.