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ICD-10 Guide
ICD-10 CodesS13.14

S13.14

Billable

Subluxation and dislocation of C3/C4 cervical vertebrae

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S13.14 is a billable code used to indicate a diagnosis of subluxation and dislocation of c3/c4 cervical vertebrae.

Key Diagnostic Point:

Subluxation and dislocation of the C3/C4 cervical vertebrae refers to a condition where there is a partial or complete displacement of the cervical vertebrae at the third and fourth levels of the spine. This injury can occur due to trauma, such as motor vehicle accidents, falls, or sports injuries, leading to instability in the cervical spine. Patients may present with neck pain, restricted range of motion, neurological deficits, or symptoms of spinal cord injury, such as numbness or weakness in the arms or legs. Diagnosis typically involves a thorough clinical examination and imaging studies, including X-rays, CT scans, or MRI, to assess the extent of the injury and rule out associated complications. Management may include conservative treatment, such as immobilization and physical therapy, or surgical intervention to stabilize the spine and relieve pressure on neural structures. Complications can include chronic pain, neurological impairment, or progression to complete dislocation if not properly managed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the mechanism of injury
  • Differentiation between subluxation and complete dislocation
  • Potential for associated neurological injuries
  • Variability in treatment approaches based on severity

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify whether the injury is a subluxation or dislocation
  • Lack of imaging reports to support the diagnosis
  • Misalignment with treatment codes leading to potential denials

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the injury mechanism, neurological assessment, and imaging results.

Common Clinical Scenarios

Trauma cases involving falls, vehicle accidents, or sports injuries leading to cervical spine injuries.

Billing Considerations

Ensure that all neurological assessments are documented, as they are critical for coding and treatment decisions.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any stabilization techniques used.

Common Clinical Scenarios

Surgical interventions for cervical stabilization following dislocation or severe subluxation.

Billing Considerations

Document any pre-existing conditions that may affect surgical outcomes or coding.

Coding Guidelines

Inclusion Criteria

Use S13.14 When
  • Follow the ICD
  • CM guidelines for coding injuries, ensuring that the specific site and nature of the injury are accurately captured
  • Document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S13.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Anterior cervical discectomy and fusion

Clinical Scenario

Used in cases of dislocation requiring surgical intervention.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Ensure that the diagnosis aligns with the surgical procedure for accurate billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of data collection and reimbursement processes. S13.14 provides a clear distinction between subluxation and dislocation, which is crucial for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of data collection and reimbursement processes. S13.14 provides a clear distinction between subluxation and dislocation, which is crucial for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S13.14 provides a clear distinction between subluxation and dislocation, which is crucial for treatment planning.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between subluxation and dislocation?

Subluxation refers to a partial displacement of a joint, while dislocation indicates a complete displacement. Accurate documentation is essential for coding.