Valid for Submission
S24.109S is a billable diagnosis code used to specify a medical diagnosis of unspecified injury at unspecified level of thoracic spinal cord, sequela. The code S24.109S is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S24.109S might also be used to specify conditions or terms like closed fracture of t1-t6 level with spinal cord injury, closed fracture of thoracic region with spinal cord injury, fracture of thoracic spine with cord lesion, injury of nerves and spinal cord at thorax level, injury of thoracic spinal cord , injury of thoracic spine, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S24.109S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like unspecified injury at unspecified level of thoracic spinal cord. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
Unspecified diagnosis codes like S24.109S are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
The appropriate 7th character is to be added to each code from block Injury of nerves and spinal cord at thorax level (S24). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Closed fracture of T1-T6 level with spinal cord injury
- Closed fracture of thoracic region with spinal cord injury
- Fracture of thoracic spine with cord lesion
- Injury of nerves and spinal cord at thorax level
- Injury of thoracic spinal cord
- Injury of thoracic spine
- Laceration of spinal cord
- Laceration of thoracic spinal cord
- Late effect of spinal cord injury
- Open fracture of T7-T12 level with spinal cord injury
- Open fracture of thoracic spine with spinal cord injury
- Sequela of injury of thoracic spinal cord
- Spinal dislocation with thoracic cord lesion
- Spinal subluxation with thoracic cord lesion
- Thoracic cord injury without spinal bone injury
Present on Admission (POA)
Convert S24.109S to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S24.109S its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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.
Spinal cord injuries can be complete or incomplete. With a complete spinal cord injury, the cord can't send signals below the level of the injury. As a result, you are paralyzed below the injury. With an incomplete injury, you have some movement and sensation below the injury.
A spinal cord injury is a medical emergency. Immediate treatment can reduce long-term effects. Treatments may include medicines, braces or traction to stabilize the spine, and surgery. Later treatment usually includes medicines and rehabilitation therapy. Mobility aids and assistive devices may help you to get around and do some daily tasks.
NIH: National Institute of Neurological Disorders and Stroke
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