Anterior cord syndrome at C4, init

This code identifies a specific spinal cord injury characterized by damage to the anterior two-thirds of the cervical spinal cord at the C4 vertebral level. This damage typically results in a loss of motor function, pain, and temperature sensation below the injury site, while preserving proprioception and vibratory sense.

Apply this code for patients presenting with a new diagnosis of anterior cord syndrome directly impacting the C4 spinal cord segment. This is appropriate for initial evaluations following traumatic injuries, vascular events, or other acute causes leading to this specific neurological deficit.

• Ensure documentation clearly specifies "anterior cord syndrome" and the C4 level.
• Verify this is the "initial encounter" for the condition; subsequent encounters will use different seventh characters.
• Code any associated external cause of injury (e.g., fall, motor vehicle accident) in addition to this diagnosis.