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ICD-10 Guide
ICD-10 CodesS13.181

S13.181

Billable

Dislocation of C7/T1 cervical vertebrae

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

Code Description

ICD-10 S13.181 is a billable code used to indicate a diagnosis of dislocation of c7/t1 cervical vertebrae.

Key Diagnostic Point:

Dislocation of the C7/T1 cervical vertebrae refers to the displacement of the seventh cervical vertebra (C7) relative to the first thoracic vertebra (T1). This injury often results from high-energy trauma such as motor vehicle accidents, falls from heights, or sports injuries. The cervical spine is crucial for protecting the spinal cord and facilitating neck movement. Dislocations at this level can lead to significant neurological deficits, including weakness, numbness, or paralysis, depending on the severity of the injury and any associated spinal cord injury. Diagnosis typically involves a thorough clinical examination, imaging studies such as X-rays or MRI to assess the degree of dislocation and any potential spinal cord involvement. Management may include immobilization, reduction of the dislocation, and possibly surgical intervention to stabilize the spine and prevent further neurological damage. Complications can include chronic pain, instability, and persistent neurological deficits.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the mechanism of injury
  • Differentiation from other cervical spine injuries
  • Potential for associated neurological injuries
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document neurological assessments
  • Incorrect coding of associated injuries
  • Lack of imaging reports in the medical record

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Trauma patients presenting after a fall or motor vehicle accident with neck pain and neurological symptoms.

Billing Considerations

Ensure that all assessments and interventions are documented, including any immediate stabilization measures.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any fixation methods used.

Common Clinical Scenarios

Patients requiring surgical intervention for cervical stabilization after dislocation.

Billing Considerations

Document the rationale for surgical intervention and any intraoperative findings that may affect coding.

Coding Guidelines

Inclusion Criteria

Use S13.181 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific nature of the dislocation and any associated injuries
  • Document the mechanism of injury and any neurological assessments

Exclusion Criteria

Do NOT use S13.181 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Cervical spine fusion

Clinical Scenario

Used in cases where surgical stabilization is required after dislocation.

Documentation Requirements

Operative report detailing the procedure and indications for surgery.

Specialty Considerations

Ensure that the surgical approach and any complications are documented.

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.

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.

Reimbursement & Billing Impact

reimbursement processes.

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 primary mechanism of injury for a C7/T1 dislocation?

The primary mechanism is often high-energy trauma, such as motor vehicle accidents or falls from significant heights, which can lead to severe displacement of the cervical vertebrae.