Subluxation of C1/C2 cervical vertebrae
ICD-10 S13.120 is a billable code used to indicate a diagnosis of subluxation of c1/c2 cervical vertebrae.
Subluxation of the C1 and C2 cervical vertebrae refers to a partial dislocation of the first two cervical vertebrae, which can lead to significant neurological impairment and pain. This condition often arises from trauma, such as motor vehicle accidents, falls, or sports injuries, where the neck is subjected to sudden forces. The C1 vertebra, also known as the atlas, supports the skull, while the C2 vertebra, or axis, allows for rotational movement of the head. Subluxation can result in compression of the spinal cord or nerve roots, leading to symptoms such as neck pain, headaches, dizziness, and neurological deficits. Diagnosis typically involves a thorough clinical examination, imaging studies like X-rays or MRI, and assessment of neurological function. Management may include conservative treatment such as physical therapy, cervical collars, or in severe cases, surgical intervention to stabilize the vertebrae. Complications can include chronic pain, persistent neurological deficits, or further spinal instability if not properly managed.
Documentation must include a detailed account of the mechanism of injury, neurological assessment, and imaging results.
Trauma cases from falls, vehicle accidents, or sports injuries presenting with neck pain and neurological symptoms.
Ensure that all relevant imaging studies are documented and correlate with clinical findings.
Operative reports must detail the surgical approach, findings, and any stabilization techniques used.
Surgical intervention for unstable subluxation requiring fusion or decompression.
Document any pre-existing conditions that may affect surgical outcomes.
Used in cases where surgical intervention is necessary due to neurological compromise.
Operative report must detail the procedure and indications.
Ensure that the surgical approach aligns with the diagnosis of subluxation.
Subluxation refers to a partial dislocation where the joint surfaces are still in contact, while dislocation indicates a complete separation of the joint surfaces.
