Valid for Submission
S34.109D is a billable diagnosis code used to specify a medical diagnosis of unspecified injury to unspecified level of lumbar spinal cord, subsequent encounter. The code S34.109D 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 S34.109D might also be used to specify conditions or terms like closed fracture of lumbar vertebra with spinal cord injury, fracture of lumbar spine with cord lesion, injury of lumbar spinal cord, injury of lumbar spine, injury of nerves and lumbar spinal cord at abdomen, lower back and pelvis level , laceration of lower back, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S34.109D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like unspecified injury to unspecified level of lumbar spinal cord. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Unspecified diagnosis codes like S34.109D 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 Inj lower spinl cord and nrv at abd, low back and pelv level (S34). 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 lumbar vertebra with spinal cord injury
- Fracture of lumbar spine with cord lesion
- Injury of lumbar spinal cord
- Injury of lumbar spine
- Injury of nerves and lumbar spinal cord at abdomen, lower back and pelvis level
- Laceration of lower back
- Laceration of lumbar cord
- Laceration of spinal cord
- Lumbar cord injury without spinal bone injury
- Open fracture of lumbar vertebra with spinal cord injury
- Spinal dislocation with lumbar cord lesion
- Spinal subluxation with lumbar cord lesion
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
Convert S34.109D to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S34.109D 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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