Subluxation and dislocation of C2/C3 cervical vertebrae
ICD-10 S13.13 is a billable code used to indicate a diagnosis of subluxation and dislocation of c2/c3 cervical vertebrae.
Subluxation and dislocation of the C2/C3 cervical vertebrae refers to a condition where there is a partial or complete displacement of the second and third cervical vertebrae in the spine. This injury can occur due to trauma, such as a fall, motor vehicle accident, or sports-related injury. The cervical spine is critical for supporting the head and protecting the spinal cord, and injuries at this level can lead to significant neurological deficits. Symptoms may include neck pain, limited range of motion, headaches, and in severe cases, neurological symptoms such as weakness or numbness in the arms. Diagnosis typically involves a thorough clinical examination, imaging studies such as X-rays or MRI, and assessment of neurological function. Management may include conservative treatment like immobilization and physical therapy, or surgical intervention in cases of severe dislocation or neurological compromise. Complications can include chronic pain, instability, and potential long-term neurological deficits if not treated promptly.
Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and any neurological evaluations performed.
Patients presenting after a fall or motor vehicle accident with neck pain and limited mobility.
Emergency physicians should ensure that all relevant imaging studies are ordered and documented to support the diagnosis.
Operative reports must detail the surgical approach, findings, and any complications encountered during the procedure.
Patients requiring surgical intervention for stabilization of the cervical spine after dislocation.
Surgeons should document the rationale for surgical intervention and any pre-existing conditions that may affect recovery.
Used in cases where surgical intervention is required for dislocation or instability.
Operative report detailing the procedure, indications, and any complications.
Neurosurgeons and orthopedic surgeons should document the rationale for surgical intervention.
Subluxation refers to a partial dislocation where the joint surfaces are misaligned but still in contact, while dislocation is a complete separation of the joint surfaces.