Dislocation of C4/C5 cervical vertebrae
ICD-10 S13.151 is a billable code used to indicate a diagnosis of dislocation of c4/c5 cervical vertebrae.
Dislocation of the C4/C5 cervical vertebrae refers to the displacement of these vertebrae in the cervical spine, which can lead to significant neurological impairment and instability of the cervical region. This injury often occurs due to high-energy trauma such as motor vehicle accidents, falls from heights, or sports injuries. The mechanism of injury typically involves flexion, extension, or axial loading forces that exceed the structural integrity of the cervical spine. Clinically, patients may present with neck pain, limited range of motion, and neurological deficits such as weakness, numbness, or paralysis depending on the severity of the dislocation and any associated spinal cord injury. Diagnosis is confirmed through imaging studies, including X-rays, CT scans, or MRI, which help visualize the extent of the dislocation and any potential spinal cord compression. Management may involve immobilization, pain control, and surgical intervention to realign the vertebrae and stabilize the spine. Complications can include chronic pain, neurological deficits, and the potential for further spinal instability if not properly managed.
Acute care documentation must include detailed descriptions of the mechanism of injury, neurological assessments, and imaging results.
Trauma patients presenting with neck pain after a fall or motor vehicle accident.
Ensure that all neurological deficits are documented to support coding for potential complications.
Operative reports must detail the surgical approach, findings, and any corrective measures taken.
Patients undergoing cervical fusion or stabilization procedures following dislocation.
Document any pre-existing conditions that may affect surgical outcomes and coding.
Used in cases of dislocation requiring stabilization.
Operative report detailing the procedure and indications.
Ensure that the surgical approach aligns with the diagnosis for accurate coding.
The primary mechanism of injury for a C4/C5 dislocation typically involves high-energy trauma such as motor vehicle accidents, falls, or sports injuries that apply excessive force to the cervical spine.
