Complete lesion at C7 level of cervical spinal cord, init

This code signifies a complete transection or severe disruption of the cervical spinal cord at the C7 vertebral level, resulting in a total loss of motor and sensory function below that point. It indicates the initial presentation or treatment phase of such an injury.

Apply this code for patients presenting with a newly diagnosed, acute, and complete spinal cord injury affecting the C7 level. Documentation must clearly state "complete lesion" and specify the C7 level, often supported by neurological examination findings (e.g., ASIA Impairment Scale A) and imaging reports.

• Ensure documentation explicitly states "complete lesion" and the specific C7 level; otherwise, an unspecified or incomplete lesion code may be more appropriate.
• The "A" seventh character indicates an initial encounter for active treatment; subsequent encounters will require different seventh characters (D, S).
• Always code any associated fractures or dislocations of the cervical vertebrae in addition to this spinal cord injury code.