Subluxation of C2/C3 cervical vertebrae
ICD-10 S13.130 is a billable code used to indicate a diagnosis of subluxation of c2/c3 cervical vertebrae.
Subluxation of the C2 and C3 cervical vertebrae refers to a partial dislocation of these vertebrae in the cervical spine, which can lead to instability, nerve compression, and various neurological symptoms. This condition often arises from trauma, such as motor vehicle accidents, falls, or sports injuries, where sudden forces cause the vertebrae to misalign. Patients may present with neck pain, restricted range of motion, headaches, and neurological deficits depending on the severity of the subluxation. Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays or MRI, to assess the alignment of the cervical spine and rule out associated injuries. Management may include conservative treatment like physical therapy and pain management, or surgical intervention in cases of significant instability or neurological compromise. Complications can include chronic pain, persistent neurological symptoms, or progression to complete dislocation if not properly managed.
Documentation must include a detailed account of the mechanism of injury, clinical findings, and any imaging results.
Patients presenting after a fall or motor vehicle accident with neck pain and neurological symptoms.
Ensure that all relevant imaging studies are documented and that the mechanism of injury is clearly stated.
Operative reports must detail the surgical approach, findings, and any corrective measures taken.
Surgical intervention for unstable subluxation or decompression of neural structures.
Accurate coding of surgical procedures must align with the diagnosis and any associated conditions.
Used when surgical intervention is required for decompression due to subluxation.
Operative report must detail the procedure and rationale.
Ensure alignment with the diagnosis of subluxation.
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.
