Sprain of ligaments of cervical spine
ICD-10 S13.4 is a billable code used to indicate a diagnosis of sprain of ligaments of cervical spine.
A sprain of the ligaments of the cervical spine refers to an injury characterized by the overstretching or tearing of the ligaments that support the cervical vertebrae. This condition often arises from sudden movements or trauma, such as whiplash injuries from motor vehicle accidents, falls, or sports-related incidents. Patients typically present with neck pain, stiffness, and limited range of motion. Symptoms may also include headaches, shoulder pain, and neurological signs if nerve roots are affected. Diagnosis is primarily clinical, supported by imaging studies such as X-rays or MRI to rule out fractures or disc injuries. Management usually involves conservative treatment, including rest, physical therapy, and pain management. In severe cases, surgical intervention may be necessary. Complications can include chronic pain, persistent stiffness, and, in rare cases, neurological deficits if the injury affects spinal cord structures.
Detailed documentation of the mechanism of injury, initial assessment findings, and any imaging results.
Patients presenting with neck pain after a motor vehicle accident or sports injury.
Ensure that the mechanism of injury is clearly documented to support the diagnosis.
Operative reports should detail the surgical approach if intervention is necessary, including preoperative assessments.
Surgical management of severe cervical sprains with associated instability.
Document any concurrent procedures performed during surgery.
Used when a patient presents with a cervical sprain in the emergency department.
Document the patient's history, examination findings, and treatment plan.
Emergency medicine providers should ensure thorough documentation of the mechanism of injury.
A sprain involves injury to ligaments, while a strain involves injury to muscles or tendons. Accurate documentation is essential to differentiate between the two.
