Cervical spinal cord injuries are the most severe of all spinal cord injuries. They most often lead to complete paralysis or fatality. The cervical spine is located at the very top of the spinal column. The seven vertebral levels within this region, which are classified as C1-C7 from the top down, form the human neck.
Symptoms of cervical nerve impingement. Common symptoms of pinched nerve include neck pain that travels under the arms and shoulders, difficulty lifting objects, headaches, and muscle weakness and numbness or tingling in the fingers or hands. Other symptoms include: Pain in neck, shoulder, shoulder, upper chest, or arm.
Symptoms of Cervical Spine Disorders. Because a cervical spine injury or condition occurs near your neck (cervical), symptoms can affect both your arms and legs. The most common symptoms are neck pain and a stiff neck. Because of the nerves running through your spine, you may also experience pain, numbness or weakness radiating down your ...
Symptoms of cervical stenosis are related to abnormal compression of the spinal cord and nerve roots. Neck pain, pain in one or both arms, and an electrical sensation that shoots down the back when the head moves are common painful sensations in patients with spinal stenosis.
Other instability, unspecified joint M25. 30 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M25. 30 became effective on October 1, 2021.
ICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
M53. 82 - Other specified dorsopathies, cervical region. ICD-10-CM.
6: Pain in thoracic spine.
ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.
Dorsopathy – a group of diseases of the spine and paravertebral tissues. The main causes of this disease is the increased load on the spine, impaired nutrition and blood supply to the vertebrae and tissues, as well as shocks, falls from a height on the spine or legs and other injuries.
ICD-10 code M47. 812 for Spondylosis without myelopathy or radiculopathy, cervical region is a medical classification as listed by WHO under the range - Dorsopathies .
ICD-10 code: M54. 12 Radiculopathy Cervical region.
9: Dorsalgia, unspecified.
ICD-10 code G89. 29 for Other chronic pain is a medical classification as listed by WHO under the range - Diseases of the nervous system .
M54. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Cervical spine fractures are reported with codes from category S12, Fracture of the cervical vertebra and other parts of the neck. There are specific codes for the more common types of fractures of each cervical vertebra. In order to assign the most specific codes at each level, the following information is required: C1 vertebra.
Codes for injury to the nerves and spinal cord at the neck are found in category S14. If multiple cervical levels show evidence of spinal cord lesions, the code for the highest level is assigned. So if the patient has an incomplete lesion at C4 and C5 levels, code S14.154, Other incomplete lesion at C4 level of cervical spinal cord.
Codes for dislocation and sprains of the joints and ligaments of the neck are found in category S13. This category includes specific codes for traumatic rupture of the disc (S13.0-), subluxation, and dislocation at each interspace (S13.1-), plus sprain of ligaments such as the anterior longitudinal ligament of the cervical spine (S13.4-).
If the type of vertebral fracture is not specified, an “unspecified” code is assigned. The two specific codes are for traumatic spondylolisthesis, Type III, and other traumatic spondylolisthesis. An exception is traumatic fractures of the C1 and C 2 vertebrae. Due to the different bony configurations of these two vertebrae, different types of fractures may occur at these levels.
Traumatic spondylolisthesis refers to a slippage or displacement of the vertebrae from an acute injury, and the severity of the injury can vary significantly. For this reason, traumatic spondylolisthesis is classified as Type I, II, IIA, or III.
Brown-Sequard Syndrome – One side of the spinal cord is damaged, which results in impaired movement but intact sensation on one side and impaired sensation but intact movement on the opposite side.
Injuries to the cervical spine may occur with or without associated spinal cord injury. When there is an associated spinal cord injury, it typically is listed first. Injuries of the spinal cord must be documented as:
Cervical instability is a medical condition in which loose ligaments in your upper cervical spine may lead to neuronal damage and a large list of adverse symptoms.
It is worth mentioning that, although MRIs are the most common diagnostic testing method for cervical instability, a 2012 scientific investigation found that MRIs had “ limited diagnostic value in patients with whiplash-associated disorders” such as cervical instability.
Physical therapy is a very effective treatment option for cervical instability. We often recommend patients do PT alongside chiropractic care for the best recover outcomes.
You may or may not need to wear a brace or cervical collar, depending on the severity of your cervical instability, and whether you had surgery beforehand.
Does cervical instability require surgery? You do not need surgery for cervical instability unless your instability has gotten out of control. In the most severe cases, surgery may be necessary to manage the life-changing symptoms of advanced cervical instability.
Spinal manipulation is a safe and effective therapy when performed by a highly qualified chiropractor, even in special needs patients.
Unfortunately, some surgery patients find they can no longer move that part of their neck .