2026 ICD-10-CM Diagnosis Code S14.109SUnspecified injury at unspecified level of cervical spinal cord, sequela
S14.109S is a billable ICD-10-CM diagnosis code for unspecified injury at unspecified level of cervical spinal cord, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S14.109S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
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.
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
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Convert S14.109S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S14.109SOverview
Is S14.109S 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, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S14.109S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the unspecified injury at unspecified level of cervical spinal cord itself has resolved, not the original event.
Is S14.109S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for unspecified injury at unspecified level of cervical spinal cord, sequela on inpatient claims.
What is the ICD-9 equivalent of S14.109S?
Under the General Equivalence Mappings, unspecified injury at unspecified level of cervical spinal cord, sequela converts to ICD-9-CM 907.2 (late eff spinal cord inj). 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.
