S14.104A — Unspecified injury at C4 level of cervical spinal cord, initial encounter
S14.104A is a billable, specific ICD-10-CM code for unspecified injury at c4 level of cervical spinal cord, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S14
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S14.104A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 182 Spinal Cord Disorders/Injuries0.478 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
S14.104A is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
- A56619Billing and Coding: Nerve Conduction Studies and Electromyography
- A56722Billing and Coding: Intraoperative Neurophysiological Testing
- A56802Billing and Coding: Urodynamics
Related codes at this level
Codes that share S14.104. If S14.104A is not quite right, the correct code is usually one of these.
Questions about S14.104A
- Is S14.104A a billable ICD-10-CM code?
- Yes. S14.104A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S14.104A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the neck (S10-S19).