Subluxation and dislocation of C5/C6 cervical vertebrae
ICD-10 S13.16 is a billable code used to indicate a diagnosis of subluxation and dislocation of c5/c6 cervical vertebrae.
Subluxation and dislocation of the C5/C6 cervical vertebrae refers to a condition where there is a partial or complete displacement of the cervical vertebrae at the fifth and sixth levels of the spine. This injury can occur due to trauma, such as a fall, motor vehicle accident, or sports-related injury. The cervical spine is critical for protecting the spinal cord and supporting the head, and injuries at this level can lead to significant neurological deficits. Symptoms may include neck pain, limited range of motion, numbness or tingling in the arms, and in severe cases, weakness or paralysis. Diagnosis typically involves a thorough clinical examination, imaging studies such as X-rays or MRI, and neurological assessments to evaluate the extent of injury. Management may include conservative treatment like immobilization and physical therapy or surgical intervention to realign the vertebrae and stabilize the spine. Complications can include chronic pain, neurological impairment, and the risk of further injury if not properly managed.
Documentation must include a detailed account of the injury mechanism, neurological status, and initial treatment provided.
Trauma patients presenting with neck pain after a fall or collision.
Ensure that all neurological assessments are documented to support the diagnosis and any potential complications.
Operative reports must detail the surgical approach, findings, and any corrective measures taken.
Patients undergoing surgical intervention for cervical stabilization after dislocation.
Document the rationale for surgical intervention and any pre-existing conditions that may affect recovery.
Used in cases where surgical intervention is required for stabilization after dislocation.
Operative report detailing the procedure, indications, and findings.
Ensure that the surgical approach and any complications are documented.
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.
