Subluxation of T12/L1 thoracic vertebra, sequela

This code signifies a partial dislocation or misalignment of the twelfth thoracic vertebra (T12) and the first lumbar vertebra (L1) that is no longer an acute injury but rather a long-term effect or complication of a previous injury. The patient is experiencing ongoing symptoms or issues directly attributable to this past subluxation.

Apply this code when documentation clearly indicates a subluxation at the T12/L1 level that is a residual condition from an earlier injury. This is appropriate for patients presenting with chronic pain, limited range of motion, or neurological symptoms that are sequelae of a previously diagnosed T12/L1 subluxation. Do not use for acute or current injuries.

• Always ensure the "S" seventh character is used for sequela, indicating a late effect.
• Verify that the documentation explicitly states the subluxation is a chronic or residual condition, not an acute event.
• Consider coding any associated chronic pain or neurological deficits separately, if documented, using appropriate codes.