Subluxation of C3/C4 cervical vertebrae
ICD-10 S13.140 is a billable code used to indicate a diagnosis of subluxation of c3/c4 cervical vertebrae.
Subluxation of the cervical vertebrae, specifically at the C3 and C4 levels, refers to a partial dislocation of these vertebrae in the cervical spine. This condition can result from trauma, such as a fall, motor vehicle accident, or sports injury, leading to misalignment of the vertebrae. Patients may present with neck pain, restricted range of motion, and neurological symptoms depending on the severity of the subluxation. The cervical spine is crucial for protecting the spinal cord and supporting the head, and any misalignment can lead to significant complications, including nerve impingement or spinal cord injury. Diagnosis typically involves a thorough clinical examination, imaging studies such as X-rays or MRI to assess the alignment and any associated soft tissue injuries. Management may include conservative treatment like physical therapy, chiropractic adjustments, or in severe cases, surgical intervention to realign the vertebrae and relieve pressure on the spinal cord or nerves.
Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and any imaging results.
Patients presenting after a fall or motor vehicle accident with neck pain and limited mobility.
Ensure that all neurological assessments are documented to support the diagnosis and any potential complications.
Operative reports must detail the surgical approach, findings, and any corrective measures taken to address the subluxation.
Surgical intervention for severe subluxation with neurological compromise.
Document any pre-operative imaging and post-operative outcomes to support the coding of the surgical procedure.
Used in cases where surgical intervention is required for subluxation correction.
Operative report must detail the procedure and rationale for surgery.
Ensure that all pre-operative imaging and assessments are documented.
Subluxation refers to a partial dislocation where the joint surfaces are misaligned but still in contact, while dislocation indicates a complete separation of the joint surfaces.
