Anterior cord syndrome at C4, sequela

This code signifies the long-term effects or complications arising from anterior cord syndrome affecting the C4 level of the cervical spinal cord. Anterior cord syndrome is characterized by motor paralysis, loss of pain and temperature sensation below the lesion, while proprioception, vibration, and touch sensation are preserved. The "sequela" designation indicates that this code is used for residual conditions after the initial injury has healed.

Use this code when documenting the chronic neurological deficits or persistent symptoms resulting from a past anterior cord injury at the C4 level. This includes conditions such as spasticity, weakness, or sensory deficits that are a direct consequence of the original trauma. Documentation should clearly state the C4 level involvement and the chronic nature of the condition.

• Always ensure documentation explicitly states "sequela" or describes a chronic, residual condition from a past injury.
• Do not use this code for the initial acute injury; instead, use the appropriate acute injury code.
• Consider co-reporting with codes for specific neurological deficits (e.g., spasticity, paralysis) if they are present and documented.