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2025 ICD-10-CM code S34.0

Concussion and edema of the lumbar and sacral spinal cord.

Use secondary codes from Chapter 20 (External causes of morbidity) to specify the cause of the injury.Additional codes should be used for any retained foreign body (Z18.-) and associated fractures (S22.0-, S32.0-).

Medical necessity is established by the presence of clinical signs and symptoms of spinal cord injury, confirmed by imaging studies. Treatment is necessary to prevent further neurological damage and manage pain and other symptoms.

Clinicians diagnose this condition based on patient history, physical examination, and imaging studies like X-rays, CT, MRI, and myelography. Treatment might include medications for pain and inflammation, physical therapy, and potentially surgery.

In simple words: This code describes a concussion (injury to the brain) and swelling in the lower part of the spinal cord in the lower back area.

Concussion and edema of the lumbar and sacral spinal cord. This code refers to a brain injury and swelling due to fluid accumulation around the spinal cord in the lower back region.It includes injuries to the cord itself at the lumbar and sacral levels.

Example 1: A patient falls from a ladder and experiences lower back pain, numbness, and weakness in their legs. Imaging reveals concussion and edema of the lumbar spinal cord., A motor vehicle accident results in a patient having a concussion and edema of the sacral spinal cord, causing bowel and bladder dysfunction., A patient with a previous lumbar spinal cord injury experiences worsening edema and neurological symptoms following a minor fall, requiring further treatment.

Documentation should include details of the injury mechanism, neurological examination findings, imaging results (X-ray, CT, MRI, myelography), and any associated injuries.

** Excludes1: birth trauma (P10-P15), obstetric trauma (O70-O71). Excludes2: burns and corrosions (T20-T32), effects of foreign body (T18.2-T18.5, T19.-), frostbite (T33-T34), insect bite or sting, venomous (T63.4).This code represents the cord level injury and not bone level injury.

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