Spinal cord, lumbar (L-spine), injury/trauma
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|Dx:||Spinal cord, lumbar (L-spine), injury/trauma|
|Pre-ICD10 counterpart:||L-Spine trauma+cord injury|
|APACHE Como Component:||none|
|APACHE Acute Component:||none|
|External ICD10 Documentation|
This diagnosis is a part of ICD10 collection.
- complete transection
- injury to cauda equina / traumatic cauda equina syndrome
- for non-traumatic, instead use Paralytic syndrome, NOS
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
Code Paraplegia or quadraplegia/tetraplegia with this code if applicable.
Traumas and their Mechanisms
- In ICD10, traumas need to be combined with separate mechanism codes to fully explain the situation.
- Here are lists of the codes for "mechanical" injuries to various body parts:
- some codes are always traumatic and always need a mechanism:
- Other codes may or may not be of a traumatic nature; these also qualify to be coded with trauma mechanisms listed below:
|Category:Potential trauma codes:|
- Here is a list of the external mechanism or agent that caused the trauma:
Regarding Multiple Trauma
- When a person has multiple body areas traumatized, code Multiple trauma
- When using Multiple trauma also code the individual things traumatized, e.g. leg, arm, head, etc.
- Code Multiple trauma and all the individual things traumatized as Combined ICD10 codes
- If the multiple trauma is the primary admit diagnosis, then among this group of linked ICD10 codes, the Primary Admit Diagnosis would be either the Multiple trauma or the "worst" thing injured, e.g. Brain injury, diffuse (TBI), injury/trauma
- Some iatrogenic codes are self-explanatory for what occurred. For example Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection. But for others, such as Iatrogenic, puncture or laceration, related to a procedure or surgery NOS it's not clear what happened, i.e. what was iatrogenically injured.
- In these latter cases, with just one exception, DO NOT also code a trauma code for what was iatrogenically injured. This is because iatrogenic injuries are technically not considered to be traumas.
- Instead, combine the iatrogenic code with another ICD10 code indicating the body part involved.
- e.g. for iatrogenic laceration of a pulmonary artery, combine: Iatrogenic, puncture or laceration, related to a procedure or surgery NOS with Disorder of pulmonary vessels, NOS. See list of NOS codes in ICD10.
Related CCI Codes
Data Integrity Checks (automatic list)
|Query check ICD10 mechanism vs trauma||CCMDB.accdb||implemented|