Dislocation of C1/C2 cervical vertebrae
ICD-10 S13.121 is a billable code used to indicate a diagnosis of dislocation of c1/c2 cervical vertebrae.
Dislocation of the C1 and C2 cervical vertebrae, also known as the atlas and axis, is a serious injury that can result from high-impact trauma, such as motor vehicle accidents, falls, or sports injuries. This dislocation can lead to significant instability in the cervical spine, potentially compromising the spinal cord and resulting in neurological deficits. The mechanism of injury often involves hyperextension or hyperflexion of the neck, which can cause the vertebrae to misalign. Clinically, patients may present with neck pain, limited range of motion, and neurological symptoms such as weakness or numbness in the extremities. Diagnosis typically involves imaging studies, including X-rays, CT scans, or MRIs, to assess the alignment of the cervical vertebrae and rule out associated injuries. Management may require immobilization, traction, or surgical intervention to restore stability and prevent further neurological compromise. Complications can include chronic pain, neurological deficits, and increased risk of future cervical spine injuries.
Acute care documentation must include a detailed account of the injury mechanism, neurological status, and imaging results.
Trauma patients presenting with neck pain after a fall or motor vehicle accident.
Ensure that all neurological assessments are documented to support the severity of the injury.
Operative reports must detail the surgical approach, findings, and any stabilization techniques used.
Patients requiring surgical intervention for cervical stabilization following dislocation.
Document any intraoperative findings that may affect coding, such as additional injuries.
Used in cases where surgical intervention is required for dislocated C1/C2.
Operative report detailing the procedure and indications.
Ensure that the surgical approach is documented clearly.
CT scans are preferred for detailed visualization of the cervical spine, but X-rays can also be used as an initial assessment.
