2026 ICD-10-CM Diagnosis Code S14.129DCentral cord syndrome at unspecified level of cervical spinal cord, subsequent encounter

ICD-10-CM Codes›S00–T88›S10-S19›S14

ICD-10-CM S14.129D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S14.129D is a billable ICD-10-CM diagnosis code for central cord syndrome at unspecified level of cervical spinal cord, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Spinal cord injury (SCI), subsequent encounter.

Code Identity

ICD-10-CM Code
S14.129D
Billable Status
Yes — Valid for Submission
Code Describes
Central cord syndrome at unspecified level of cervical spinal cord, subsequent encounter
Short Description
Central cord synd at unsp level of cerv spinal cord, subs
Parent Code
S14.129
Central cord syndrome 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 CodeS14.129DCentral cord syndrome at unspecified level of cervical spinal cord, subsequent encounter

Present on Admission (POA)Billing

S14.129D 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.

  • Central cord syndrome due to open fracture at C5-C7 level
  • Central cord syndrome of cervical cord due to open subluxation of cervical spine
  • Central cord syndrome of cervical spinal cord
  • Central cord syndrome of cervical spinal cord due to closed dislocation of cervical spine
  • Central cord syndrome of cervical spinal cord due to closed fracture at C1-C4 level
  • Central cord syndrome of cervical spinal cord due to closed fracture at C5-C7 level
  • Central cord syndrome of cervical spinal cord due to closed subluxation of cervical spine
  • Central cord syndrome of cervical spinal cord due to open dislocation of cervical spine
  • Central cord syndrome of cervical spinal cord due to traumatic injury
  • Central cord syndrome of cervical spinal cord. due to open fracture at C1-C4 level
  • Closed fracture of C5-C7 level with incomplete spinal cord lesion
  • Closed fracture of C5-C7 level with spinal cord injury
  • Open fracture of C1-C4 level with incomplete spinal cord lesion
  • Open fracture of C1-C4 level with spinal cord injury
  • 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 INJ046
Spinal cord injury (SCI), subsequent 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 S14.129D to ICD-9-CMHistory

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

ICD-9-CM
V58.89 Other specfied aftercare
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 S14.129DOverview

Is S14.129D a billable code?

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

What does the 7th character D in S14.129D mean?

The final character D marks a subsequent encounter: use it for routine care while the central cord syndrome at unspecified level of cervical spinal cord is healing, after active treatment has ended.

What MS-DRG does S14.129D group to?

When central cord syndrome at unspecified level of cervical spinal cord, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S14.129D 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 central cord syndrome at unspecified level of cervical spinal cord, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S14.129D?

Under the General Equivalence Mappings, central cord syndrome at unspecified level of cervical spinal cord, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.