Incomplete lesion of sacral spinal cord, initial encounter

This code signifies a partial injury to the sacral spinal cord, meaning some nerve function below the injury level is preserved. The sacral spinal cord controls bowel, bladder, and sexual function, as well as sensation and movement in the legs and feet. An incomplete lesion indicates that the damage is not total, and some neural pathways remain intact.

Apply this code for initial encounters with patients diagnosed with a sacral spinal cord injury where neurological assessment confirms that not all motor or sensory function is lost below the level of the lesion. This is appropriate for new injuries or exacerbations of existing conditions being evaluated for the first time.

• Ensure documentation clearly specifies "incomplete" to differentiate from complete lesions.
• Verify the injury is localized to the sacral region of the spinal cord.
• The "A" seventh character indicates an initial encounter for active treatment of the injury.