Complete lesion of L2 level of lumbar spinal cord, sequela

This code signifies a complete transection or severe damage to the L2 level of the lumbar spinal cord, resulting in a permanent loss of motor and sensory function below that level. As a sequela code, it indicates that the spinal cord injury is no longer acute but represents the long-term effects or complications of a previous injury. Patients typically present with paraplegia affecting the lower extremities, bowel and bladder dysfunction, and sensory deficits.

This code is appropriate for documenting the chronic, residual effects of a complete L2 spinal cord injury. It should be used when a patient is being treated for ongoing complications or long-term management related to this specific level and type of spinal cord damage, such as spasticity, neuropathic pain, or pressure ulcers. Do not use this code for the initial acute injury.

• Always assign this code as a secondary diagnosis, following the code for the primary condition or complication being treated.
• Ensure documentation clearly specifies "complete lesion" and the L2 level, as well as indicating the chronic nature of the condition.
• Do not use this code for incomplete lesions or acute spinal cord injuries; separate codes exist for those scenarios.