Unsp injury at C6 level of cervical spinal cord, subs encntr

This code signifies an unspecific injury to the C6 level of the cervical spinal cord. This could encompass various types of damage, such as contusion, laceration, or hemorrhage, where the precise nature of the injury is not documented. It indicates that the patient is receiving active treatment for the sequelae of the initial injury.

Use this code for follow-up encounters when a patient is still undergoing active treatment for an injury to the C6 spinal cord, and the specific type of injury is not detailed in the medical record. Documentation should clearly indicate an ongoing treatment plan for the spinal cord injury and specify the C6 level.

• Ensure documentation explicitly states "unspecified injury" or lacks detail regarding the specific type of spinal cord damage.
• The "D" seventh character indicates a subsequent encounter, meaning the patient is receiving routine care during the healing or recovery phase.
• Always review the medical record for more specific injury types (e.g., S14.116D for complete lesion) before defaulting to an unspecified code.