Subluxation of C4/C5 cervical vertebrae
ICD-10 S13.150 is a billable code used to indicate a diagnosis of subluxation of c4/c5 cervical vertebrae.
Subluxation of the C4/C5 cervical vertebrae refers to a partial dislocation of the vertebrae in the cervical spine, specifically between the fourth and fifth cervical vertebrae. This condition can result from trauma, such as a fall, motor vehicle accident, or sports injury, where the cervical spine is subjected to excessive force or abnormal movement. Clinically, patients may present with neck pain, limited range of motion, and neurological symptoms such as tingling or weakness in the arms, depending on the severity of the subluxation and any associated nerve root involvement. Diagnosis typically involves a thorough clinical examination, imaging studies such as X-rays or MRI to visualize the alignment of the vertebrae, and assess for any associated injuries to the spinal cord or surrounding structures. Management may include conservative treatment such as physical therapy, cervical collars, or in more severe cases, surgical intervention to realign the vertebrae and stabilize the spine. Complications can include chronic pain, neurological deficits, or progression to complete dislocation if not properly managed.
Documentation must include a detailed account of the injury mechanism, patient presentation, and initial assessment findings.
Trauma cases from falls, motor vehicle accidents, or sports injuries leading to acute neck pain.
Ensure that all neurological assessments are documented, as they are critical for coding and management.
Operative reports must detail the surgical approach, findings, and any corrective measures taken to address the subluxation.
Surgical interventions for severe subluxation with neurological compromise.
Document any pre-existing conditions that may affect surgical outcomes or recovery.
Used in cases where surgical intervention is required for subluxation.
Operative report detailing the procedure and indications.
Ensure that the surgical approach aligns with the diagnosis.
Subluxation refers to a partial dislocation where the joint surfaces are still in contact, while dislocation is a complete separation of the joint surfaces.
