Complete lesion at C6 level of cervical spinal cord, sequela

This code signifies a complete transection or severe damage to the cervical spinal cord at the C6 vertebral level, resulting in a total loss of motor and sensory function below that point. It describes the long-term effects or complications arising from such an injury, rather than the acute injury itself. Patients typically present with quadriplegia and significant functional impairment.

Use this code for patients presenting with chronic or residual conditions directly attributable to a complete C6 spinal cord injury. Documentation should clearly state "sequela" or indicate that the current encounter addresses a long-term consequence of the original injury. This code is appropriate when the initial acute injury has resolved, and the patient is being treated for ongoing deficits.

• Always ensure documentation specifies "complete lesion" and the C6 level.
• This code is for sequelae; do not use for acute or initial injury encounters.
• Consider sequencing this code after any associated neurological conditions or functional deficits being treated.