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
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
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).
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Traumatic Fractures (page 79)
- Coding of Burns and Corrosions (page 80)
- Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
- Adult and child abuse, neglect and other maltreatment (page 85)
- Complications of care (page 85)
All codes under S14
S14 can't be used on a claim. Pick a billable code below; grey headings group them.
- S14.0Concussion and edema of cervical spinal cord
- S14.0XXAConcussion and edema of cervical spinal cord, initial encounter
- S14.0XXDConcussion and edema of cervical spinal cord, subsequent encounter
- S14.0XXSConcussion and edema of cervical spinal cord, sequela
- S14.1Other and unspecified injuries of cervical spinal cord
- S14.10Unspecified injury of cervical spinal cord
- S14.101Unspecified injury at C1 level of cervical spinal cord
- S14.101AUnspecified injury at C1 level of cervical spinal cord, initial encounter
- S14.101DUnspecified injury at C1 level of cervical spinal cord, subsequent encounter
- S14.101SUnspecified injury at C1 level of cervical spinal cord, sequela
- S14.102Unspecified injury at C2 level of cervical spinal cord
- S14.102AUnspecified injury at C2 level of cervical spinal cord, initial encounter
- S14.102DUnspecified injury at C2 level of cervical spinal cord, subsequent encounter
- S14.102SUnspecified injury at C2 level of cervical spinal cord, sequela
- S14.103Unspecified injury at C3 level of cervical spinal cord
- S14.103AUnspecified injury at C3 level of cervical spinal cord, initial encounter
- S14.103DUnspecified injury at C3 level of cervical spinal cord, subsequent encounter
- S14.103SUnspecified injury at C3 level of cervical spinal cord, sequela
- S14.104Unspecified injury at C4 level of cervical spinal cord
- S14.104AUnspecified injury at C4 level of cervical spinal cord, initial encounter
- S14.104DUnspecified injury at C4 level of cervical spinal cord, subsequent encounter
- S14.104SUnspecified injury at C4 level of cervical spinal cord, sequela
- S14.105Unspecified injury at C5 level of cervical spinal cord
- S14.105AUnspecified injury at C5 level of cervical spinal cord, initial encounter
- S14.105DUnspecified injury at C5 level of cervical spinal cord, subsequent encounter
- S14.105SUnspecified injury at C5 level of cervical spinal cord, sequela
- S14.106Unspecified injury at C6 level of cervical spinal cord
- S14.106AUnspecified injury at C6 level of cervical spinal cord, initial encounter
- S14.106DUnspecified injury at C6 level of cervical spinal cord, subsequent encounter
- S14.106SUnspecified injury at C6 level of cervical spinal cord, sequela
- S14.107Unspecified injury at C7 level of cervical spinal cord
- S14.107AUnspecified injury at C7 level of cervical spinal cord, initial encounter
- S14.107DUnspecified injury at C7 level of cervical spinal cord, subsequent encounter
- S14.107SUnspecified injury at C7 level of cervical spinal cord, sequela
- S14.108Unspecified injury at C8 level of cervical spinal cord
- S14.108AUnspecified injury at C8 level of cervical spinal cord, initial encounter
- S14.108DUnspecified injury at C8 level of cervical spinal cord, subsequent encounter
- S14.108SUnspecified injury at C8 level of cervical spinal cord, sequela
- S14.109Unspecified injury at unspecified level of cervical spinal cord
- S14.109AUnspecified injury at unspecified level of cervical spinal cord, initial encounter
- S14.109DUnspecified injury at unspecified level of cervical spinal cord, subsequent encounter
- S14.109SUnspecified injury at unspecified level of cervical spinal cord, sequela
- S14.11Complete lesion of cervical spinal cord
- S14.111Complete lesion at C1 level of cervical spinal cord
- S14.111AComplete lesion at C1 level of cervical spinal cord, initial encounter
- S14.111DComplete lesion at C1 level of cervical spinal cord, subsequent encounter
- S14.111SComplete lesion at C1 level of cervical spinal cord, sequela
- S14.112Complete lesion at C2 level of cervical spinal cord
- S14.112AComplete lesion at C2 level of cervical spinal cord, initial encounter
- S14.112DComplete lesion at C2 level of cervical spinal cord, subsequent encounter
- S14.112SComplete lesion at C2 level of cervical spinal cord, sequela
- S14.113Complete lesion at C3 level of cervical spinal cord
- S14.113AComplete lesion at C3 level of cervical spinal cord, initial encounter
- S14.113DComplete lesion at C3 level of cervical spinal cord, subsequent encounter
- S14.113SComplete lesion at C3 level of cervical spinal cord, sequela
- S14.114Complete lesion at C4 level of cervical spinal cord
- S14.114AComplete lesion at C4 level of cervical spinal cord, initial encounter
- S14.114DComplete lesion at C4 level of cervical spinal cord, subsequent encounter
- S14.114SComplete lesion at C4 level of cervical spinal cord, sequela
- S14.115Complete lesion at C5 level of cervical spinal cord
- S14.115AComplete lesion at C5 level of cervical spinal cord, initial encounter
- S14.115DComplete lesion at C5 level of cervical spinal cord, subsequent encounter
- S14.115SComplete lesion at C5 level of cervical spinal cord, sequela
- S14.116Complete lesion at C6 level of cervical spinal cord
- S14.116AComplete lesion at C6 level of cervical spinal cord, initial encounter
- S14.116DComplete lesion at C6 level of cervical spinal cord, subsequent encounter
- S14.116SComplete lesion at C6 level of cervical spinal cord, sequela
- S14.117Complete lesion at C7 level of cervical spinal cord
- S14.117AComplete lesion at C7 level of cervical spinal cord, initial encounter
- S14.117DComplete lesion at C7 level of cervical spinal cord, subsequent encounter
- S14.117SComplete lesion at C7 level of cervical spinal cord, sequela
- S14.118Complete lesion at C8 level of cervical spinal cord
- S14.118AComplete lesion at C8 level of cervical spinal cord, initial encounter
- S14.118DComplete lesion at C8 level of cervical spinal cord, subsequent encounter
- S14.118SComplete lesion at C8 level of cervical spinal cord, sequela
- S14.119Complete lesion at unspecified level of cervical spinal cord
- S14.119AComplete lesion at unspecified level of cervical spinal cord, initial encounter
- S14.119DComplete lesion at unspecified level of cervical spinal cord, subsequent encounter
- S14.119SComplete lesion at unspecified level of cervical spinal cord, sequela
- S14.12Central cord syndrome of cervical spinal cord
- S14.121Central cord syndrome at C1 level of cervical spinal cord
- S14.121ACentral cord syndrome at C1 level of cervical spinal cord, initial encounter
- S14.121DCentral cord syndrome at C1 level of cervical spinal cord, subsequent encounter
- S14.121SCentral cord syndrome at C1 level of cervical spinal cord, sequela
- S14.122Central cord syndrome at C2 level of cervical spinal cord
- S14.122ACentral cord syndrome at C2 level of cervical spinal cord, initial encounter
- S14.122DCentral cord syndrome at C2 level of cervical spinal cord, subsequent encounter
- S14.122SCentral cord syndrome at C2 level of cervical spinal cord, sequela
- S14.123Central cord syndrome at C3 level of cervical spinal cord
- S14.123ACentral cord syndrome at C3 level of cervical spinal cord, initial encounter
- S14.123DCentral cord syndrome at C3 level of cervical spinal cord, subsequent encounter
- S14.123SCentral cord syndrome at C3 level of cervical spinal cord, sequela
- S14.124Central cord syndrome at C4 level of cervical spinal cord
- S14.124ACentral cord syndrome at C4 level of cervical spinal cord, initial encounter
- S14.124DCentral cord syndrome at C4 level of cervical spinal cord, subsequent encounter
- S14.124SCentral cord syndrome at C4 level of cervical spinal cord, sequela
- S14.125Central cord syndrome at C5 level of cervical spinal cord
- S14.125ACentral cord syndrome at C5 level of cervical spinal cord, initial encounter
- S14.125DCentral cord syndrome at C5 level of cervical spinal cord, subsequent encounter
- S14.125SCentral cord syndrome at C5 level of cervical spinal cord, sequela
- S14.126Central cord syndrome at C6 level of cervical spinal cord
- S14.126ACentral cord syndrome at C6 level of cervical spinal cord, initial encounter
- S14.126DCentral cord syndrome at C6 level of cervical spinal cord, subsequent encounter
- S14.126SCentral cord syndrome at C6 level of cervical spinal cord, sequela
- S14.127Central cord syndrome at C7 level of cervical spinal cord
- S14.127ACentral cord syndrome at C7 level of cervical spinal cord, initial encounter
- S14.127DCentral cord syndrome at C7 level of cervical spinal cord, subsequent encounter
- S14.127SCentral cord syndrome at C7 level of cervical spinal cord, sequela
- S14.128Central cord syndrome at C8 level of cervical spinal cord
- S14.128ACentral cord syndrome at C8 level of cervical spinal cord, initial encounter
- S14.128DCentral cord syndrome at C8 level of cervical spinal cord, subsequent encounter
- S14.128SCentral cord syndrome at C8 level of cervical spinal cord, sequela
- S14.129Central cord syndrome at unspecified level of cervical spinal cord
- S14.129ACentral cord syndrome at unspecified level of cervical spinal cord, initial encounter
- S14.129DCentral cord syndrome at unspecified level of cervical spinal cord, subsequent encounter
- S14.129SCentral cord syndrome at unspecified level of cervical spinal cord, sequela
- S14.13Anterior cord syndrome of cervical spinal cord
- S14.131Anterior cord syndrome at C1 level of cervical spinal cord
- S14.131AAnterior cord syndrome at C1 level of cervical spinal cord, initial encounter
- S14.131DAnterior cord syndrome at C1 level of cervical spinal cord, subsequent encounter
- S14.131SAnterior cord syndrome at C1 level of cervical spinal cord, sequela
- S14.132Anterior cord syndrome at C2 level of cervical spinal cord
- S14.132AAnterior cord syndrome at C2 level of cervical spinal cord, initial encounter
- S14.132DAnterior cord syndrome at C2 level of cervical spinal cord, subsequent encounter
- S14.132SAnterior cord syndrome at C2 level of cervical spinal cord, sequela
- S14.133Anterior cord syndrome at C3 level of cervical spinal cord
- S14.133AAnterior cord syndrome at C3 level of cervical spinal cord, initial encounter
- S14.133DAnterior cord syndrome at C3 level of cervical spinal cord, subsequent encounter
- S14.133SAnterior cord syndrome at C3 level of cervical spinal cord, sequela
- S14.134Anterior cord syndrome at C4 level of cervical spinal cord
- S14.134AAnterior cord syndrome at C4 level of cervical spinal cord, initial encounter
- S14.134DAnterior cord syndrome at C4 level of cervical spinal cord, subsequent encounter
- S14.134SAnterior cord syndrome at C4 level of cervical spinal cord, sequela
- S14.135Anterior cord syndrome at C5 level of cervical spinal cord
- S14.135AAnterior cord syndrome at C5 level of cervical spinal cord, initial encounter
- S14.135DAnterior cord syndrome at C5 level of cervical spinal cord, subsequent encounter
- S14.135SAnterior cord syndrome at C5 level of cervical spinal cord, sequela
- S14.136Anterior cord syndrome at C6 level of cervical spinal cord
- S14.136AAnterior cord syndrome at C6 level of cervical spinal cord, initial encounter
- S14.136DAnterior cord syndrome at C6 level of cervical spinal cord, subsequent encounter
- S14.136SAnterior cord syndrome at C6 level of cervical spinal cord, sequela
- S14.137Anterior cord syndrome at C7 level of cervical spinal cord
- S14.137AAnterior cord syndrome at C7 level of cervical spinal cord, initial encounter
- S14.137DAnterior cord syndrome at C7 level of cervical spinal cord, subsequent encounter
- S14.137SAnterior cord syndrome at C7 level of cervical spinal cord, sequela
- S14.138Anterior cord syndrome at C8 level of cervical spinal cord
- S14.138AAnterior cord syndrome at C8 level of cervical spinal cord, initial encounter
- S14.138DAnterior cord syndrome at C8 level of cervical spinal cord, subsequent encounter
- S14.138SAnterior cord syndrome at C8 level of cervical spinal cord, sequela
- S14.139Anterior cord syndrome at unspecified level of cervical spinal cord
- S14.139AAnterior cord syndrome at unspecified level of cervical spinal cord, initial encounter
- S14.139DAnterior cord syndrome at unspecified level of cervical spinal cord, subsequent encounter
- S14.139SAnterior cord syndrome at unspecified level of cervical spinal cord, sequela
- S14.14Brown-Séquard syndrome of cervical spinal cord
- S14.141Brown-Séquard syndrome at C1 level of cervical spinal cord
- S14.141ABrown-Sequard syndrome at C1 level of cervical spinal cord, initial encounter
- S14.141DBrown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounter
- S14.141SBrown-Sequard syndrome at C1 level of cervical spinal cord, sequela
- S14.142Brown-Séquard syndrome at C2 level of cervical spinal cord
- S14.142ABrown-Sequard syndrome at C2 level of cervical spinal cord, initial encounter
- S14.142DBrown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounter
- S14.142SBrown-Sequard syndrome at C2 level of cervical spinal cord, sequela
- S14.143Brown-Séquard syndrome at C3 level of cervical spinal cord
- S14.143ABrown-Sequard syndrome at C3 level of cervical spinal cord, initial encounter
- S14.143DBrown-Sequard syndrome at C3 level of cervical spinal cord, subsequent encounter
- S14.143SBrown-Sequard syndrome at C3 level of cervical spinal cord, sequela
- S14.144Brown-Séquard syndrome at C4 level of cervical spinal cord
- S14.144ABrown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter
- S14.144DBrown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounter
- S14.144SBrown-Sequard syndrome at C4 level of cervical spinal cord, sequela
- S14.145Brown-Séquard syndrome at C5 level of cervical spinal cord
- S14.145ABrown-Sequard syndrome at C5 level of cervical spinal cord, initial encounter
- S14.145DBrown-Sequard syndrome at C5 level of cervical spinal cord, subsequent encounter
- S14.145SBrown-Sequard syndrome at C5 level of cervical spinal cord, sequela
- S14.146Brown-Séquard syndrome at C6 level of cervical spinal cord
- S14.146ABrown-Sequard syndrome at C6 level of cervical spinal cord, initial encounter
- S14.146DBrown-Sequard syndrome at C6 level of cervical spinal cord, subsequent encounter
- S14.146SBrown-Sequard syndrome at C6 level of cervical spinal cord, sequela
- S14.147Brown-Séquard syndrome at C7 level of cervical spinal cord
- S14.147ABrown-Sequard syndrome at C7 level of cervical spinal cord, initial encounter
- S14.147DBrown-Sequard syndrome at C7 level of cervical spinal cord, subsequent encounter
- S14.147SBrown-Sequard syndrome at C7 level of cervical spinal cord, sequela
- S14.148Brown-Séquard syndrome at C8 level of cervical spinal cord
- S14.148ABrown-Sequard syndrome at C8 level of cervical spinal cord, initial encounter
- S14.148DBrown-Sequard syndrome at C8 level of cervical spinal cord, subsequent encounter
- S14.148SBrown-Sequard syndrome at C8 level of cervical spinal cord, sequela
- S14.149Brown-Séquard syndrome at unspecified level of cervical spinal cord
- S14.149ABrown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounter
- S14.149DBrown-Sequard syndrome at unspecified level of cervical spinal cord, subsequent encounter
- S14.149SBrown-Sequard syndrome at unspecified level of cervical spinal cord, sequela
- S14.15Other incomplete lesions of cervical spinal cord
- S14.151Other incomplete lesion at C1 level of cervical spinal cord
- S14.151AOther incomplete lesion at C1 level of cervical spinal cord, initial encounter
- S14.151DOther incomplete lesion at C1 level of cervical spinal cord, subsequent encounter
- S14.151SOther incomplete lesion at C1 level of cervical spinal cord, sequela
- S14.152Other incomplete lesion at C2 level of cervical spinal cord
- S14.152AOther incomplete lesion at C2 level of cervical spinal cord, initial encounter
- S14.152DOther incomplete lesion at C2 level of cervical spinal cord, subsequent encounter
- S14.152SOther incomplete lesion at C2 level of cervical spinal cord, sequela
- S14.153Other incomplete lesion at C3 level of cervical spinal cord
- S14.153AOther incomplete lesion at C3 level of cervical spinal cord, initial encounter
- S14.153DOther incomplete lesion at C3 level of cervical spinal cord, subsequent encounter
- S14.153SOther incomplete lesion at C3 level of cervical spinal cord, sequela
- S14.154Other incomplete lesion at C4 level of cervical spinal cord
- S14.154AOther incomplete lesion at C4 level of cervical spinal cord, initial encounter
- S14.154DOther incomplete lesion at C4 level of cervical spinal cord, subsequent encounter
- S14.154SOther incomplete lesion at C4 level of cervical spinal cord, sequela
- S14.155Other incomplete lesion at C5 level of cervical spinal cord
- S14.155AOther incomplete lesion at C5 level of cervical spinal cord, initial encounter
- S14.155DOther incomplete lesion at C5 level of cervical spinal cord, subsequent encounter
- S14.155SOther incomplete lesion at C5 level of cervical spinal cord, sequela
- S14.156Other incomplete lesion at C6 level of cervical spinal cord
- S14.156AOther incomplete lesion at C6 level of cervical spinal cord, initial encounter
- S14.156DOther incomplete lesion at C6 level of cervical spinal cord, subsequent encounter
- S14.156SOther incomplete lesion at C6 level of cervical spinal cord, sequela
- S14.157Other incomplete lesion at C7 level of cervical spinal cord
- S14.157AOther incomplete lesion at C7 level of cervical spinal cord, initial encounter
- S14.157DOther incomplete lesion at C7 level of cervical spinal cord, subsequent encounter
- S14.157SOther incomplete lesion at C7 level of cervical spinal cord, sequela
- S14.158Other incomplete lesion at C8 level of cervical spinal cord
- S14.158AOther incomplete lesion at C8 level of cervical spinal cord, initial encounter
- S14.158DOther incomplete lesion at C8 level of cervical spinal cord, subsequent encounter
- S14.158SOther incomplete lesion at C8 level of cervical spinal cord, sequela
- S14.159Other incomplete lesion at unspecified level of cervical spinal cord
- S14.159AOther incomplete lesion at unspecified level of cervical spinal cord, initial encounter
- S14.159DOther incomplete lesion at unspecified level of cervical spinal cord, subsequent encounter
- S14.159SOther incomplete lesion at unspecified level of cervical spinal cord, sequela
- S14.2Injury of nerve root of cervical spine
- S14.2XXAInjury of nerve root of cervical spine, initial encounter
- S14.2XXDInjury of nerve root of cervical spine, subsequent encounter
- S14.2XXSInjury of nerve root of cervical spine, sequela
- S14.3Injury of brachial plexus
- S14.3XXAInjury of brachial plexus, initial encounter
- S14.3XXDInjury of brachial plexus, subsequent encounter
- S14.3XXSInjury of brachial plexus, sequela
- S14.4Injury of peripheral nerves of neck
- S14.4XXAInjury of peripheral nerves of neck, initial encounter
- S14.4XXDInjury of peripheral nerves of neck, subsequent encounter
- S14.4XXSInjury of peripheral nerves of neck, sequela
- S14.5Injury of cervical sympathetic nerves
- S14.5XXAInjury of cervical sympathetic nerves, initial encounter
- S14.5XXDInjury of cervical sympathetic nerves, subsequent encounter
- S14.5XXSInjury of cervical sympathetic nerves, sequela
- S14.8Injury of other specified nerves of neck
- S14.8XXAInjury of other specified nerves of neck, initial encounter
- S14.8XXDInjury of other specified nerves of neck, subsequent encounter
- S14.8XXSInjury of other specified nerves of neck, sequela
- S14.9Injury of unspecified nerves of neck
- S14.9XXAInjury of unspecified nerves of neck, initial encounter
- S14.9XXDInjury of unspecified nerves of neck, subsequent encounter
- S14.9XXSInjury of unspecified nerves of neck, sequela
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.
- DRG 052 Spinal Disorders and Injuries with CC/MCC (110 of 183 codes)
- DRG 053 Spinal Disorders and Injuries without CC/MCC (110 of 183 codes)
- DRG 949 Aftercare with CC/MCC (61 of 183 codes)
- DRG 950 Aftercare without CC/MCC (61 of 183 codes)
- DRG 963 Other Multiple Significant Trauma with MCC (61 of 183 codes)
- DRG 964 Other Multiple Significant Trauma with CC (61 of 183 codes)
- DRG 965 Other Multiple Significant Trauma without CC/MCC (61 of 183 codes)
- DRG 073 Cranial and Peripheral Nerve Disorders with MCC (6 of 183 codes)
- DRG 074 Cranial and Peripheral Nerve Disorders without MCC (6 of 183 codes)
- DRG 091 Other Disorders of Nervous System with MCC (6 of 183 codes)
- DRG 092 Other Disorders of Nervous System with CC (6 of 183 codes)
- DRG 093 Other Disorders of Nervous System without CC/MCC (6 of 183 codes)
- DRG 791 Prematurity with Major Problems (1 of 183 codes)
- DRG 793 Full Term Neonate with Major Problems (1 of 183 codes)
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 MedlinePlusSpinal 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 MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
