S14Not billable, use a more specific code below

Injury of nerves and spinal cord at neck level

In Injuries to the neck (S10-S19), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes

183 billable codes under S14: 49 are an MCC; 119 map to HCC 182 (Spinal Cord Disorders/Injuries), HCC 180 (Quadriplegia).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

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Instructional notes

Code also: add a code for this too, order depends on the encounter

  • any associated:
  • fracture of cervical vertebra (S12.0--S12.6.-)
  • open wound of neck (S11.-)
  • transient paralysis (R29.5)

Also applies, from Injuries to the neck (S10-S19)

These notes sit on S10-S19 and apply to every code under it, including S14.

Includes: conditions that are coded here

  • injuries of nape
  • injuries of supraclavicular region
  • injuries of throat

Excludes2: not included here, code separately if applicable

  • burns and corrosions (T20-T32)
  • effects of foreign body in esophagus (T18.1)
  • effects of foreign body in larynx (T17.3)
  • effects of foreign body in pharynx (T17.2)
  • effects of foreign body in trachea (T17.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).

Read Section I.C.19 (page 77)

All codes under S14

S14 can't be used on a claim. Pick a billable code below; grey headings group them.

S14 MS-DRGs

As the principal diagnosis, the billable codes under S14 group to these 14 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to S14

Notes on these codes point to S14.

  • G83.8 Excludes1: paralytic syndromes due to current spinal cord injury-code to spinal cord injury (S14, S24, S34)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Neck Injuries and Disorders

Any part of your neck - muscles, bones, joints, tendons, ligaments, or nerves - can cause neck problems. Neck pain is very common. Pain may also come from your shoulder, jaw, head, or upper arms.

Read more about neck injuries and disorders on MedlinePlus

Spinal Cord Injuries

Your spinal cord is a bundle of nerves that runs down the middle of your back. It carries signals back and forth between your body and your brain. A spinal cord injury disrupts the signals. Spinal cord injuries usually begin with a blow that fractures (breaks) or dislocates your vertebrae, the bone disks that make up your spine. Most injuries don't cut through your spinal cord. Instead, they cause damage when pieces of vertebrae tear into cord tissue or press down on the nerve parts that carry signals.

Read more about spinal cord injuries on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.