Dislocation of C2/C3 cervical vertebrae
ICD-10 S13.131 is a billable code used to indicate a diagnosis of dislocation of c2/c3 cervical vertebrae.
Dislocation of the C2 and C3 cervical vertebrae is a serious injury that typically results from high-energy trauma, such as motor vehicle accidents, falls from heights, or sports injuries. This condition involves the displacement of the second and third cervical vertebrae, which can lead to spinal cord injury, neurological deficits, and severe pain. Patients may present with neck pain, limited range of motion, and neurological symptoms such as weakness or numbness in the upper extremities. Diagnosis is primarily through imaging studies, including X-rays, CT scans, or MRI, which help confirm the dislocation and assess any associated injuries. Management often requires urgent intervention, including immobilization, reduction of the dislocation, and possibly surgical stabilization to prevent further complications. The prognosis depends on the severity of the injury and the timeliness of treatment.
Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and imaging results.
Trauma patients presenting with acute neck pain following a motor vehicle accident.
Ensure that all neurological assessments are documented to support the coding of any associated deficits.
Operative reports must detail the surgical approach, reduction technique, and any hardware used for stabilization.
Patients requiring surgical intervention for cervical stabilization after dislocation.
Document any intraoperative findings that may affect coding, such as additional injuries or complications.
Used in cases where surgical stabilization is required after dislocation.
Operative report detailing the procedure and any complications.
Ensure that the surgical approach and any hardware used are documented.
The primary mechanism is typically high-energy trauma, such as motor vehicle accidents, falls, or sports injuries.
Imaging studies such as X-rays or CT scans are essential for differentiating between dislocation and fracture, as they provide visual confirmation of the injury type.
