Oth incomplete lesion at C5, sequela

This code signifies a partial injury to the spinal cord at the C5 vertebral level, resulting in some preservation of motor or sensory function below the level of injury. It indicates that the patient is experiencing long-term effects or complications stemming from this incomplete spinal cord lesion.

Use this code for patients presenting with persistent neurological deficits, such as weakness, sensory loss, or spasticity, directly attributable to an incomplete C5 spinal cord injury that occurred in the past. Documentation should clearly state the C5 level, the incomplete nature of the lesion, and that the current presentation represents a sequela of the original injury.

• Ensure documentation explicitly states "incomplete" and specifies the C5 level.
• This code is for sequelae; do not use for initial encounters or active treatment of the acute injury.
• Always sequence this code after the primary diagnosis describing the specific neurological manifestation of the sequela (e.g., spasticity, paralysis).