S14
Injury of nerves and spinal cord at neck level
S14 is a non-billable ICD-10-CM code category for injury of nerves and spinal cord at neck level. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are S14.0 Concussion and edema of cervical spinal cord, S14.1 Other and unspecified injuries of cervical spinal cord, S14.2 Injury of nerve root of cervical spine, S14.3 Injury of brachial plexus and 4 more. Its coding notes include a Use additional code instruction, a Code also instruction and 9 Excludes2 entries.
7th characters
Every code below needs one of these.
The appropriate 7th character is to be added to each code from category S14
- Ainitial encounter
- Dsubsequent encounter
- Ssequela
Guidelines tips
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.
Each injury gets its own code unless a combination code exists, with the most serious injury first. Superficial injuries at the same site as a more severe injury are not coded. Injuries during medical care are coded as complications.
Use additional code
Add the listed code as a secondary code, if known.
Also from chapter/block level (1 note)
- code to identify any retained foreign body, if applicable (Z18.-)
Code also
Two codes may be needed to describe the condition. This note gives no sequencing order.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (9 notes)
- birth trauma (P10-P15)
- obstetric trauma (O70-O71)
Includes
Further defines or gives examples of the content of the category.
Also from chapter/block level (3 notes)
- injuries of nape
- injuries of supraclavicular region
- injuries of throat
Notes
- Code to highest level of cervical cord injury
Also from chapter/block level (2 notes)
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
More specific codes under S14 8
- S14.0Concussion and edema of cervical spinal cord7th char needed
- S14.1Other and unspecified injuries of cervical spinal cordHeader
- S14.2Injury of nerve root of cervical spine7th char needed
- S14.3Injury of brachial plexus7th char needed
- S14.4Injury of peripheral nerves of neck7th char needed
- S14.5Injury of cervical sympathetic nerves7th char needed
- S14.8Injury of other specified nerves of neck7th char needed
- S14.9Injury of unspecified nerves of neck7th char needed