S14.117S
S14.117S: Complete lesion at C7 level of cervical spinal cord, sequela
Billable / specific codeICD-10-CMPOA exempt
S14.117S is a billable, specific ICD-10-CM code for complete lesion at c7 level of cervical spinal cord, sequela. It is valid for submission on a claim.
Check S14.117S with the rest of the claim: free scrubber7th character "S": sequela
The appropriate 7th character is to be added to each code from category S14
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S14.117S risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 180 Quadriplegia1.125 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
S14.117S is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
Code history
Unchanged in every release from FY2024 to FY2027.