129 for Central cord syndrome at unspecified level of cervical spinal cord is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
Central cord syndrome is the most common form of incomplete spinal cord injury characterized by impairment in the arms and hands and to a lesser extent in the legs. The brain's ability to send and receive signals to and from parts of the body below the site of injury is reduced but not entirely blocked.
Central cord syndrome (CCS) is an incomplete traumatic injury to the cervical spinal cord – the portion of the spinal cord that runs through the bones of the neck. This injury results in weakness in the arms more so than the legs.
Physical findings related to central cord syndrome are limited to the neurologic system and consist of upper motor neuron weakness in the upper and lower extremities.
The prognosis for patients with central cord syndrome (CCS) who are aged less than 50 years is good. Within a short time, 97% of these individuals recover, regaining the ability to ambulate and complete self-care tasks. Only 17% of patients aged more than 50 years recover.
It is generally accepted that surgical treatment is necessary for central cord syndrome (CCS) with an underlying cervical stenosis. As for CCS with evidence of significant spinal cord compression, we suggest performing surgery as soon as possible.
Central cord syndrome is a clinical diagnosis with a presentation that includes disproportionate impairment of the upper limb motor function compared to the lower limbs along with varying degrees of sensory deficits below the level of the spinal cord lesion and possibly urinary or gastrointestinal dysfunction.
Anyone with a spinal cord injury can file a claim for Social Security disability benefits as long as the injury has lasted at least three months and is expected to make it impossible for you to work for at least 12 months.
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S14.122. Click on any term below to browse the alphabetical index.
Specific codes for cervical spine fractures at the C1 (atlas) vertebra include posterior arch fractures (which are the most common type at this level), lateral mass fractures, and burst fractures. Burst fractures are subclassified as stable or unstable. A burst fracture at C1 also may be referred to as Jefferson fracture.
A burst fracture at C1 also may be referred to as Jefferson fracture. At the C2 (axis) vertebra, one of the most common types of fracture is a traumatic spondylolisthesis, which also may be referred to as a Hangman’s fracture. Traumatic spondylolisthesis refers to a slippage or displacement of the vertebrae from an acute injury, ...
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.
Dens fractures also are classified by type, with the most common dens fracture being a Type II. A Type II fracture occurs at the base of the dens and is usually transverse. Type I dens fractures are rare and involve an oblique avulsion type of fracture of the tip of the dens.
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.
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.
The appropriate 7th character is to be added to each code from block Injury of nerves and spinal cord at neck level (S14). Use the following options for the aplicable episode of care:
Non-specific codes like S14.122 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for central cord syndrome at c2 level of cervical spinal cord:
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code (s). The following references for the code S14.122 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
Any part of your neck - muscles, bones, joints, tendons, ligaments, or nerves - can cause neck problems. Neck pain is very common. Pain may also come from your shoulder, jaw, head, or upper arms.
952.03 is a legacy non-billable code used to specify a medical diagnosis of c1-c4 level with central cord syndrome. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
A spinal cord injury disrupts the signals. Spinal cord injuries usually begin with a blow that fractures or dislocates your vertebrae, the bone disks that make up your spine. Most injuries don't cut through your spinal cord. Instead, they cause damage when pieces of vertebrae tear into cord tissue or press down on the nerve parts that carry signals.