Subluxation of unspecified cervical vertebrae
ICD-10 S13.100 is a billable code used to indicate a diagnosis of subluxation of unspecified cervical vertebrae.
Subluxation of the cervical vertebrae refers to a partial dislocation where the vertebrae are misaligned but not completely dislocated. This condition can result from trauma, such as a fall, motor vehicle accident, or sports injury, leading to neck pain, restricted movement, and neurological symptoms if spinal nerves are affected. The cervical spine consists of seven vertebrae (C1-C7), and subluxation can occur at any level. Symptoms may include pain, stiffness, and in severe cases, neurological deficits. Diagnosis typically involves a thorough clinical examination, imaging studies such as X-rays or MRI to assess vertebral alignment and rule out other injuries. Management may include conservative treatment like physical therapy, chiropractic adjustments, or in some cases, surgical intervention to stabilize the spine. Complications can arise if the subluxation leads to nerve compression, resulting in chronic pain or neurological impairment.
Documentation must include a detailed account of the injury mechanism, patient symptoms, and initial assessment findings.
Patients presenting with neck pain after a fall or motor vehicle accident.
Ensure that all neurological assessments are documented to support the diagnosis.
Operative reports must detail the surgical approach, findings, and any corrective measures taken.
Surgical intervention for severe subluxation with neurological compromise.
Document any pre-existing conditions that may affect surgical outcomes.
Used to confirm diagnosis of cervical subluxation
Document the reason for imaging and findings.
Ensure imaging is justified based on clinical presentation.
Surgical intervention for severe subluxation
Operative report must detail the procedure and indications.
Document any pre-existing conditions affecting surgical outcomes.
Subluxation refers to a partial dislocation where the joint surfaces are misaligned but still in contact, while dislocation is a complete separation of the joint surfaces.
Diagnosis is typically made through clinical evaluation and imaging studies such as X-rays or MRI to assess vertebral alignment.
