Traumatic spinal cord injury (tSCI) is a catastrophic event that affects patients’ lives. Despite the recent advances in neuroprotective and neurodegenerative strategies, no pharmacological therapy has proved clinical efficacy to be implemented in routine clinical practice [ 1 ].
What Are the Causes of Spinal Cord Injury? Our spine can get affected due to multiple reasons; some of the common ones include: Automobile accidents. Stabbing or gunshots. Falling from a steep height. Injuries affecting the chest, back, face, head, or neck. Contact sports injuries. Electrical accidents. How Spinal Cord Injury is Diagnosed?
The spinal cord is split into several distinct sections:
Introduction. Not all spinal cord injuries (SCI) are caused by trauma, such as car and sporting accidents. Non trauma spinal cord injury is the name given to a range of conditions which cause similar levels of impairment to that of a traumatic incident. These conditions are rare medical events.
Injury, unspecified ICD-10-CM T14. 90XA is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 913 Traumatic injury with mcc. 914 Traumatic injury without mcc.
ICD-10 code: G95. 9 Disease of spinal cord, unspecified.
ICD-10 Code for Unspecified cord compression- G95. 20- Codify by AAPC.
ICD-10 Code for Unspecified focal traumatic brain injury- S06. 30- Codify by AAPC.
ICD-10-CM Code for Paraplegia (paraparesis) and quadriplegia (quadriparesis) G82.
Complete lesion of unspecified level of lumbar spinal cord, initial encounter. S34. 119A 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 S34.
06.
Spinal cord compression happens when there is pressure on the spinal cord. Pressure on the spinal cord causes the nerves in the spinal cord to swell and slows down or blocks their blood supply. This stops the nerves working normally. Spinal cord compression can happen in people who do not have cancer.
Key points. Spinal cord compression is caused by a condition that puts pressure on your spinal cord. Symptoms such as pain, numbness, or weakness in the arms, hands, legs, or feet can come on gradually or more suddenly, depending on the cause.
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-CM Code for Unspecified multiple injuries T07.
The injury diagnosis codes (or nature of injury codes) are the ICD codes used to classify injuries by body region (for example, head, leg, chest) and nature of injury (for example, fracture, laceration, solid organ injury, poisoning).
V89.2XXAICD-10 code V89. 2XXA for Person injured in unspecified motor-vehicle accident, traffic, initial encounter is a medical classification as listed by WHO under the range - Transport accidents .
S09.90XAICD-10 code S09. 90XA for Unspecified injury of head, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
Injury of nerves and spinal cord at thorax level S24- 1 Code to highest level of thoracic spinal cord injury 2 Injuries to the spinal cord (#N#ICD-10-CM Diagnosis Code S24.0#N#Concussion and edema of thoracic spinal cord#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#S24.0 and#N#ICD-10-CM Diagnosis Code S24.1#N#Other and unspecified injuries of thoracic spinal cord#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#S24.1) refer to the cord level and not bone level injury, and can affect nerve roots at and below the level given.
S24.1) refer to the cord level and not bone level injury, and can affect nerve roots at and below the level given .
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.
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 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-).
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, ...
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.
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:
The incidence of traumatic spinal cord injuries (SCI) vary from 9.2 to 57.8 per million. 1 This variation is partly because of differences in definition, classification and procedures of patient identification. The International Classification of Diseases (ICD) has become the standard diagnostic classification for epidemiological and health management purposes, and has been subjected to continuous update and revision. The current version, ICD-10, was introduced in 1993 2 and has been used for somatic diseases at our hospital since 1998. Traumatic SCI based on ICD-8 3, 4 and ICD-9 5, 6 have been evaluated, but less so for ICD-10. 6
8 as an acute, traumatic lesion of the spinal cord with varying degrees of motor and/or sensory deficit or paralysis. Although injuries of cauda equina were included, the definition excluded isolated injuries of other nerve roots. 9 Transient paresis or impermanent deficits lasting less than 1 week were not included.
Sensitivity was defined as the proportion of positives that were correctly identified, and specificity as the proportion of negatives that were correctly identified. The positive predictive value (PPV) is the proportion with a positive test result that was correctly diagnosed. The likelihood ratio (LR+) is the ratio of the probability of the specific test result in people who do have the disease compared to the probability in people who do not. The likelihood ratio of a positive test result (LR+)=sensitivity/ (1−specificity). We assessed the sensitivity, specificity, PPV and LR+ for each ICD code. Data were analyzed by using the statistical software STATA 9.0. The Western Norway Regional Committee for Medical Research Ethics, the Data Inspectorate and the Directorate for Health and Social Affairs approved the study.
The International Classification of Diseases (ICD) has become the standard diagnostic classification for epidemiological and health management purposes, and has been subjected to continuous update and revision.
The latest ICD version proved to be most reliable when identifying patients with traumatic SCI. However, ICD data cannot be trusted without extensive validity checks for either research or for health planning and administration.