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ICD-10 Guide
ICD-10 CodesS13.171

S13.171

Billable

Dislocation of C6/C7 cervical vertebrae

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S13.171 is a billable code used to indicate a diagnosis of dislocation of c6/c7 cervical vertebrae.

Key Diagnostic Point:

Dislocation of the C6/C7 cervical vertebrae refers to a condition where the cervical vertebrae at the sixth and seventh levels are displaced from their normal anatomical position. This injury often results from high-energy trauma such as motor vehicle accidents, falls from heights, or sports injuries. The dislocation can lead to significant neurological deficits due to potential spinal cord compression or injury to surrounding structures. Symptoms may include severe neck pain, limited range of motion, numbness, tingling, or weakness in the upper extremities, and in severe cases, paralysis. Diagnosis typically involves a thorough clinical examination followed by imaging studies such as X-rays, CT scans, or MRIs to assess the extent of the dislocation and any associated injuries. Management may include immobilization, pain management, and in many cases, surgical intervention to realign the vertebrae and stabilize the cervical spine. Complications can include chronic pain, neurological deficits, and the potential for recurrent dislocation if not properly managed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the mechanism of injury
  • Differentiation between dislocation and other cervical spine injuries
  • Potential for associated neurological injuries
  • Variability in treatment approaches based on severity

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document neurological assessments
  • Misclassification of dislocation severity
  • Lack of imaging reports in the medical record

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the mechanism of injury, neurological assessment, and imaging results.

Common Clinical Scenarios

Trauma patients presenting with neck pain after a fall or motor vehicle accident.

Billing Considerations

Ensure that all neurological deficits are documented to support the severity of the injury.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any stabilization techniques used.

Common Clinical Scenarios

Patients undergoing surgical intervention for cervical dislocation with or without fusion.

Billing Considerations

Document any pre-existing conditions that may affect surgical outcomes.

Coding Guidelines

Inclusion Criteria

Use S13.171 When
  • Follow the ICD
  • CM guidelines for coding injuries, ensuring that the specific site and type of dislocation are accurately captured
  • Document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S13.171 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

63015CPT Code

Laminectomy, cervical, single segment

Clinical Scenario

Used when surgical intervention is required for dislocation.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Ensure that the surgical approach and any complications are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical spine injuries, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the primary mechanism of injury for S13.171?

The primary mechanism of injury for S13.171 is typically high-energy trauma, such as motor vehicle accidents, falls, or sports injuries.

How can I differentiate between dislocation and fracture in coding?

Dislocation codes specifically refer to the displacement of vertebrae, while fracture codes indicate a break in the bone. Documentation should clearly state the nature of the injury.