Subluxation and dislocation of C0/C1 cervical vertebrae
ICD-10 S13.11 is a billable code used to indicate a diagnosis of subluxation and dislocation of c0/c1 cervical vertebrae.
Subluxation and dislocation of the C0/C1 cervical vertebrae refers to the misalignment or displacement of the first cervical vertebra (atlas) relative to the occipital bone (C0). This condition can occur due to trauma, such as whiplash injuries from motor vehicle accidents, falls, or sports-related injuries. The C0/C1 joint is crucial for head movement and stability, and its dislocation can lead to significant neurological deficits if the spinal cord is compromised. Symptoms may include neck pain, limited range of motion, headaches, and neurological signs such as numbness or weakness in the extremities. Diagnosis typically involves a thorough clinical examination, imaging studies like X-rays or MRI to assess the alignment and any associated injuries. Management may include conservative treatment such as immobilization, physical therapy, or surgical intervention in severe cases to restore alignment and prevent further complications.
Documentation must include a detailed account of the injury mechanism, clinical findings, and any imaging results.
Trauma cases from vehicle accidents, falls, or sports injuries leading to acute neck pain and neurological symptoms.
Ensure that all relevant imaging studies are documented and that the mechanism of injury is clearly stated to support the diagnosis.
Operative reports must detail the surgical approach, findings, and any corrective measures taken.
Surgical intervention for severe dislocation or instability requiring fusion or stabilization.
Document any pre-existing conditions that may affect surgical outcomes and coding.
Performed for decompression of the spinal cord due to dislocation.
Operative report detailing the procedure and indication.
Ensure that the surgical necessity is well-documented.
Subluxation refers to a partial dislocation where the joint surfaces are not completely separated, while dislocation indicates a complete separation of the joint surfaces.
