Subluxation and dislocation of unspecified cervical vertebrae
ICD-10 S13.10 is a billable code used to indicate a diagnosis of subluxation and dislocation of unspecified cervical vertebrae.
Subluxation and dislocation of cervical vertebrae refers to a condition where one or more cervical vertebrae are misaligned or displaced from their normal position. This can occur due to trauma, such as a fall, motor vehicle accident, or sports injury, leading to potential spinal cord injury or nerve root compression. Symptoms may include neck pain, stiffness, neurological deficits, and in severe cases, paralysis. The diagnosis typically involves a thorough clinical examination, imaging studies such as X-rays or MRI to assess the extent of the injury, and to rule out associated injuries. Management may include conservative treatment like immobilization and physical therapy, or surgical intervention in cases of significant displacement or neurological compromise. Accurate coding is essential for proper treatment reimbursement and tracking of injury patterns in epidemiological studies.
Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and any imaging studies performed.
Patients presenting with neck pain after a fall or motor vehicle accident, requiring immediate evaluation for potential spinal injury.
Ensure that all neurological assessments are documented, as this impacts both treatment decisions and coding.
Operative reports must detail the surgical procedure performed, indications for surgery, and any intraoperative findings.
Patients requiring surgical intervention for cervical dislocation or subluxation due to trauma.
Document any pre-existing conditions that may affect surgical outcomes and coding.
Used in cases where surgical intervention is required for dislocation or subluxation.
Operative report detailing the procedure, indications, and any complications.
Ensure that the surgical necessity is well-documented to support the procedure.
Subluxation refers to a partial dislocation where the joint surfaces are misaligned but still in contact, while dislocation is a complete displacement of the joint surfaces.