Complete lesion of L2 level of lumbar spinal cord, subs

This code signifies a complete transection or severe damage to the spinal cord at the L2 vertebral level, resulting in a total loss of motor and sensory function below that point. This specific code is used when the patient is receiving follow-up care for this established injury after the initial treatment phase.

This code is appropriate for encounters where a patient with a previously diagnosed complete L2 spinal cord lesion is being seen for ongoing management, rehabilitation, or complications related to this injury. Examples include follow-up appointments for physical therapy, occupational therapy, medication management, or addressing issues like neurogenic bladder/bowel or pressure ulcers.

• Ensure documentation clearly states "complete lesion" and specifies the L2 level.
• The "D" seventh character indicates a subsequent encounter, meaning the patient is receiving routine care during the healing or recovery phase.
• Do not use for initial treatment of the injury; a different seventh character would be required for the initial encounter.