Subluxation of C7/T1 cervical vertebrae
ICD-10 S13.180 is a billable code used to indicate a diagnosis of subluxation of c7/t1 cervical vertebrae.
Subluxation of the C7/T1 cervical vertebrae refers to a partial dislocation of the seventh cervical vertebra (C7) and the first thoracic vertebra (T1). This condition can occur due to trauma, such as a fall, motor vehicle accident, or sports injury, where excessive force is applied to the neck. The subluxation can lead to nerve compression, resulting in pain, weakness, or sensory changes in the upper extremities. Clinically, patients may present with neck pain, restricted range of motion, and neurological symptoms depending on the severity of the subluxation. Diagnosis typically involves a thorough physical examination and imaging studies, such as X-rays or MRI, to assess the alignment of the vertebrae and any associated soft tissue injuries. Management may include conservative treatment options like physical therapy, pain management, and in some cases, surgical intervention to realign the vertebrae and relieve nerve compression. Complications can include chronic pain, neurological deficits, and the potential for further injury if not properly managed.
Complete documentation of the patient's presentation, mechanism of injury, and initial assessment findings.
Trauma cases involving falls or vehicular accidents leading to neck injuries.
Ensure that all neurological assessments are documented to support the diagnosis and any potential complications.
Detailed operative notes, including indications for surgery, findings, and post-operative care.
Surgical intervention for severe subluxation with neurological compromise.
Document the surgical approach and any complications encountered during the procedure.
Performed for decompression of spinal cord due to subluxation.
Operative report detailing the procedure and indications.
Ensure that the surgical approach and findings are clearly documented.
Subluxation refers to a partial dislocation where the joint surfaces are still in contact, while dislocation indicates a complete separation of the joint surfaces.
