Complete lesion of unsp level of lumbar spinal cord, subs

This code signifies a complete transection or severe damage to the lumbar spinal cord, resulting in a total loss of motor and sensory function below the level of injury. The specific vertebral level within the lumbar spine is not documented or is unknown. This diagnosis is being reported for a patient receiving active treatment for the sequelae of this injury after the initial healing phase.

Apply this code for follow-up encounters where a patient is receiving ongoing care for a complete lumbar spinal cord lesion, such as physical therapy, occupational therapy, or medication management for chronic pain or spasticity. It is appropriate when the initial injury has already been treated and the patient is in the recovery or rehabilitation phase.

• Ensure documentation clearly states "complete lesion" and specifies the lumbar region, even if the exact vertebral level is not identified.
• The "D" seventh character indicates a subsequent encounter, meaning the patient is receiving routine care during the healing or recovery phase.
• Do not use this code for the initial treatment of the acute injury; refer to codes with an "A" seventh character for initial encounters.