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ICD-10 Guide
ICD-10 CodesS14.0

S14.0

Billable

Concussion and edema of cervical spinal cord

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

Code Description

ICD-10 S14.0 is a billable code used to indicate a diagnosis of concussion and edema of cervical spinal cord.

Key Diagnostic Point:

S14.0 refers to a concussion and edema of the cervical spinal cord, which is a type of traumatic brain injury (TBI) that occurs due to a sudden impact or jolt to the head or neck. This injury can lead to a range of symptoms, including headache, dizziness, confusion, and loss of consciousness. The edema, or swelling, of the cervical spinal cord can result from the trauma, leading to potential neurological deficits, such as weakness, sensory changes, or paralysis. The mechanism of injury often involves falls, sports injuries, or motor vehicle accidents. Diagnosis typically involves a thorough clinical evaluation, imaging studies such as MRI or CT scans, and neurological assessments to determine the extent of the injury and any associated complications. Management may include rest, physical therapy, and in severe cases, surgical intervention to relieve pressure on the spinal cord. Complications can include chronic pain, persistent neurological deficits, and an increased risk of future injuries. Accurate coding of S14.0 requires careful documentation of the mechanism of injury, clinical findings, and any treatments provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential symptoms and complications
  • Need for precise documentation of mechanism of injury
  • Differentiation from other cervical spine injuries
  • Potential for co-existing conditions

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document neurological assessments
  • Misclassification of severity of injury
  • Inconsistent coding of co-existing conditions

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with head trauma after a fall or sports injury, requiring immediate evaluation for concussion and spinal cord edema.

Billing Considerations

Ensure that all neurological assessments are documented, including Glasgow Coma Scale scores and any changes in consciousness.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any interventions performed to address spinal cord edema.

Common Clinical Scenarios

Patients requiring decompression surgery due to significant edema affecting neurological function.

Billing Considerations

Document any pre-operative imaging and post-operative assessments to support the coding of S14.0.

Coding Guidelines

Inclusion Criteria

Use S14.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific nature of the injury and any associated conditions
  • Document the mechanism of injury and clinical findings thoroughly

Exclusion Criteria

Do NOT use S14.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with significant symptoms of concussion and cervical edema.

Documentation Requirements

Document the patient's presenting symptoms, examination findings, and any imaging performed.

Specialty Considerations

Emergency medicine providers should ensure comprehensive documentation to support the level of service billed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of injuries like S14.0, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of injuries like S14.0, 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 difference between S14.0 and S13.0?

S14.0 specifically refers to concussion and edema of the cervical spinal cord, while S13.0 refers to cervical spine sprains without edema.