2026 ICD-10-CM Diagnosis Code S14.109AUnspecified injury at unspecified level of cervical spinal cord, initial encounter

ICD-10-CM Codes›S00–T88›S10-S19›S14

ICD-10-CM S14.109A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S14.109A is a billable ICD-10-CM diagnosis code for unspecified injury at unspecified level of cervical spinal cord, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Spinal cord injury (SCI), initial encounter.

Code Identity

ICD-10-CM Code
S14.109A
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified injury at unspecified level of cervical spinal cord, initial encounter
Short Description
Unsp injury at unsp level of cervical spinal cord, init
Parent Code
S14.109
Unspecified injury at unspecified level of cervical spinal cord

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS10-S19Injuries to the neck
CategoryS14Injury of nerves and spinal cord at neck level
This CodeS14.109AUnspecified injury at unspecified level of cervical spinal cord, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Cervical spinal cord injury
  • Cervical spinal cord injury without spinal bone injury
  • Closed fracture of C1-C4 level with spinal cord injury
  • Closed fracture of C5-C7 level with spinal cord injury
  • Fracture of cervical spine with cord lesion
  • Injuries of brain and cranial nerves with injuries of nerves and spinal cord at neck level
  • Injury of cervical spinal cord due to closed fracture of cervical spine
  • Injury of cervical spinal cord due to open fracture of cervical spine
  • Injury of nerves and spinal cord at neck level
  • Multiple injuries of vertebral column region
  • Multiple intracranial injuries
  • Open fracture of C1-C4 level with spinal cord injury
  • Spinal dislocation with cervical cord lesion
  • Spinal subluxation with cervical cord lesion

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of nerves and spinal cord at neck level (S14). Use the following options for the applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ009
Spinal cord injury (SCI), initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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 the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S14.109A to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
952.9 Spinal cord injury NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S14.109AOverview

Is S14.109A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified injury at unspecified level of cervical spinal cord, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in S14.109A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for unspecified injury at unspecified level of cervical spinal cord, such as an emergency visit or first evaluation.

What MS-DRG does S14.109A group to?

When unspecified injury at unspecified level of cervical spinal cord, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 963, 964, 965, with relative weights from 0.9405 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S14.109A?

Under the General Equivalence Mappings, unspecified injury at unspecified level of cervical spinal cord, initial encounter converts to ICD-9-CM 952.9 (spinal cord injury NOS). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.