Complete lesion of L1 level of lumbar spinal cord, init

This code signifies a total transection or severe damage to the spinal cord at the L1 vertebral level, resulting in a complete loss of motor and sensory function below that point. This type of injury typically leads to paraplegia, affecting the lower limbs and potentially bowel and bladder control.

Use this code for the initial encounter of a patient diagnosed with a complete spinal cord injury specifically at the L1 level. This applies to acute traumatic events such as falls, motor vehicle accidents, or penetrating injuries that sever the spinal cord.

• Ensure documentation clearly states "complete lesion" and specifies the L1 level.
• Verify this is the "initial encounter" for the injury; subsequent care will use different seventh characters.
• Always code any associated external cause of injury (e.g., fall, MVA) and place of occurrence codes.