Subluxation and dislocation of C1/C2 cervical vertebrae
ICD-10 S13.12 is a billable code used to indicate a diagnosis of subluxation and dislocation of c1/c2 cervical vertebrae.
Subluxation and dislocation of the C1 and C2 cervical vertebrae, also known as the atlas and axis, respectively, can occur due to trauma, such as motor vehicle accidents, falls, or sports injuries. These injuries can lead to instability in the cervical spine, resulting in neurological deficits, pain, and restricted mobility. The C1 vertebra supports the skull and allows for nodding movements, while the C2 vertebra facilitates rotation of the head. Dislocation or subluxation at this level can compromise the spinal cord and vertebral arteries, leading to serious complications. Clinical evaluation typically includes a thorough history, physical examination, and imaging studies such as X-rays, CT scans, or MRIs to assess the extent of the injury and any associated neurological involvement. Management may involve conservative treatment, such as immobilization with a cervical collar, or surgical intervention to stabilize the vertebrae and decompress the spinal cord if necessary.
Documentation must include a detailed account of the mechanism of injury, neurological assessment, and imaging results.
Trauma patients presenting with neck pain after a fall or motor vehicle accident.
Ensure that all relevant imaging studies are documented and that any neurological deficits are clearly noted.
Operative reports must detail the surgical approach, findings, and any stabilization techniques used.
Patients requiring surgical intervention for cervical stabilization after dislocation.
Document the rationale for surgical intervention and any pre-existing conditions that may affect recovery.
Performed for decompression in cases of dislocation with neurological compromise.
Operative report must detail the procedure and any findings.
Ensure that the indication for surgery is clearly documented.
Subluxation refers to a partial dislocation where the joint surfaces are misaligned but still in contact, while dislocation indicates a complete separation of the joint surfaces.
