S14.113D ICD-10-CM Code: Complete lesion at C3 level of cervical spinal cord, subsequent encounter

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S14.113D in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on S14.113D itself; “inherited from” names the category or block whose note applies here.

7th Character Guide

"The appropriate 7th character is to be added to each code from category S14"

• A — initial encounter
• D — subsequent encounter (this page’s code)
• S — sequela

How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.

ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).

Variant codes in this family

S14.113A, S14.113D, S14.113S

Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.

Coder workflow for S14.113D

MedCoder structured workflow — derived from this code’s own official record

Before you code S14.113D

1. A 7th character is required in this family. Confirm the documented encounter: initial (active treatment), subsequent (healing or recovery phase), or sequela. This page’s code carries “D”. “Initial” means active treatment, not the first visit (Guidelines I.C.19.a).

   See the 7th Character Guide · Guide: 7th characters: initial, subsequent, sequela →

2. Confirm the injury type, the anatomical site at the most specific level documented, laterality where the family codes it, and the encounter for the 7th character. Each injury is coded separately unless the classification provides a combination code, and a superficial injury is not coded when a more severe injury of the same site is documented. Injury chapter guidelines (Guidelines I.C.19.b, I.C.19.b.1).

   Guide: 7th characters: initial, subsequent, sequela →

Choose the right path

1. Is the encounter phase documented — active treatment, healing or recovery, or a sequela?
   Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
   No → The code is invalid without its 7th character — query for the missing element.

Consider S14.113D. Then review the Code Also note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement

Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Anatomical site

At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.

Encounter type

Active treatment, healing or recovery phase, or sequela — the basis of the 7th character (Guidelines I.C.19.a).

External cause, place and activity

For the external cause codes reported with the injury or poisoning, where documented (Guidelines I.C.20.a).

Official instructions as workflow

• Excludes2 — not part of S14.113D(7 notes)

  Coding workflow: The conditions named in this note are not included in S14.113D. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

  CompareT18.1, T17.3, T17.2, T17.4, T63.4

  See the official tabular notes · Guidelines I.A.12.b

• Code Also — related condition(4 notes)

  Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

  ReviewS12.0, S12.6, S11, R29.5

  See the official tabular notes · Guidelines I.A.17

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Indexed Clinical Terms (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

• Injury, spinal (cord), cervical (neck), complete lesion, C3 level

Don’t confuse S14.113D with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of S14.113D — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

• S14.113A— Encounter relationship (Review)

  Same underlying diagnosis, different encounter phase.

  The same diagnosis at a different phase of care; one encounter takes one 7th character.

  What moves you there: Documentation of a initial encounter moves the case to S14.113A.

  Full comparison: S14.113D vs S14.113A →

• S14.113S— Encounter relationship (Review)

  Same underlying diagnosis, different encounter phase.

  The same diagnosis at a different phase of care; one encounter takes one 7th character.

  What moves you there: Documentation of a sequela moves the case to S14.113S.

  Full comparison: S14.113D vs S14.113S →

• T20— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of burns and corrosions adds T20; it is not part of this code and both may be reported when both are documented.

  Full comparison: S14.113D vs T20 →

• T32— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of burns and corrosions adds T32; it is not part of this code and both may be reported when both are documented.

  Full comparison: S14.113D vs T32 →

• T18.1— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of effects of foreign body in esophagus adds T18.1; it is not part of this code and both may be reported when both are documented.

  Full comparison: S14.113D vs T18.1 →

• T17.3— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of effects of foreign body in larynx adds T17.3; it is not part of this code and both may be reported when both are documented.

  Full comparison: S14.113D vs T17.3 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

1. A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
2. 4 Code Also notes — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
3. 7 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

• No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name S14.113D or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes2 note: S27 — Injury of other and unspecified intrathoracic organs (via S14.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 2 Code First instructions across 2 chapters: R29.5 — Transient paralysis (via S14.1.-), S12 — Fracture of cervical vertebra and other parts of neck (via S14.1.-).

Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.

Referenced by 1 Use Additional Code instruction: S17 — Crushing injury of neck (via S14.1.-).

These codes instruct coders to additionally report this code when it applies.

Referenced by 2 Code Also instructions: S11 — Open wound of neck (via S14.1.-), S13.1 — Subluxation and dislocation of cervical vertebrae (via S14.1.-).

These codes suggest coding this condition alongside when both are present.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):INJ046 — Spinal cord injury (SCI), subsequent encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

S14.113A — Complete lesion at C3 level of cervical spinal cord, initial encounterCompare S14.113D vs S14.113A →, S14.113S — Complete lesion at C3 level of cervical spinal cord, sequela

Same CMS-HCC risk category (V28)

CMS maps these diagnoses to the same Hierarchical Condition Category (Quadriplegia) for risk-adjusted payment.

G82.53 — Quadriplegia, C5-C7 complete, G82.54 — Quadriplegia, C5-C7 incomplete, R53.2 — Functional quadriplegia, S14.111A — Complete lesion at C1 level of cervical spinal cord, initial encounter, S14.111D — Complete lesion at C1 level of cervical spinal cord, subsequent encounter, S14.111S — Complete lesion at C1 level of cervical spinal cord, sequela, S14.112A — Complete lesion at C2 level of cervical spinal cord, initial encounter, S14.112D — Complete lesion at C2 level of cervical spinal cord, subsequent encounter, S14.112S — Complete lesion at C2 level of cervical spinal cord, sequela, S14.113A — Complete lesion at C3 level of cervical spinal cord, initial encounter, S14.113S — Complete lesion at C3 level of cervical spinal cord, sequela, S14.114A — Complete lesion at C4 level of cervical spinal cord, initial encounter, S14.114D — Complete lesion at C4 level of cervical spinal cord, subsequent encounter, S14.114S — Complete lesion at C4 level of cervical spinal cord, sequela, S14.115A — Complete lesion at C5 level of cervical spinal cord, initial encounter, S14.115D — Complete lesion at C5 level of cervical spinal cord, subsequent encounter, S14.115S — Complete lesion at C5 level of cervical spinal cord, sequela, S14.116A — Complete lesion at C6 level of cervical spinal cord, initial encounter, S14.116D — Complete lesion at C6 level of cervical spinal cord, subsequent encounter, S14.116S — Complete lesion at C6 level of cervical spinal cord, sequela, +12 more

Related risk categories

These categories interact through CMS's HCC hierarchy — one can suppress the other's risk-adjustment weight when both are present on a claim.

Paraplegia, Spinal Cord Disorders/Injuries, Hemiplegia/Hemiparesis, Monoplegia, Other Paralytic Syndromes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Spinal cord injury (SCI), subsequent encounter).

S14.102D — Unspecified injury at C2 level of cervical spinal cord, subsequent encounter, S14.103D — Unspecified injury at C3 level of cervical spinal cord, subsequent encounter, S14.104D — Unspecified injury at C4 level of cervical spinal cord, subsequent encounter, S14.105D — Unspecified injury at C5 level of cervical spinal cord, subsequent encounter, S14.106D — Unspecified injury at C6 level of cervical spinal cord, subsequent encounter, S14.107D — Unspecified injury at C7 level of cervical spinal cord, subsequent encounter, S14.108D — Unspecified injury at C8 level of cervical spinal cord, subsequent encounter, S14.109D — Unspecified injury at unspecified level of cervical spinal cord, subsequent encounter, S14.111D — Complete lesion at C1 level of cervical spinal cord, subsequent encounter, S14.112D — Complete lesion at C2 level of cervical spinal cord, subsequent encounter, S14.114D — Complete lesion at C4 level of cervical spinal cord, subsequent encounter, S14.115D — Complete lesion at C5 level of cervical spinal cord, subsequent encounter, S14.116D — Complete lesion at C6 level of cervical spinal cord, subsequent encounter, S14.117D — Complete lesion at C7 level of cervical spinal cord, subsequent encounter, S14.118D — Complete lesion at C8 level of cervical spinal cord, subsequent encounter, S14.119D — Complete lesion at unspecified level of cervical spinal cord, subsequent encounter, S14.121D — Central cord syndrome at C1 level of cervical spinal cord, subsequent encounter, S14.122D — Central cord syndrome at C2 level of cervical spinal cord, subsequent encounter, S14.123D — Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter, S14.124D — Central cord syndrome at C4 level of cervical spinal cord, subsequent encounter, +84 more

Contextual Map

Every relationship of S14.113D in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run S14.113D with these 6 related codes in Claim Check

Hierarchy

• S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S10-S19 — Injuries to the neck[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Referenced by Excludes2 notes

• S27 — Injury of other and unspecified intrathoracic organs[Excludes2](via S14.-): “injury of cervical esophagus (S10-S19)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Code First instructions

• R29.5 — Transient paralysis[Code First](via S14.1.-): “any associated spinal cord injury (S14.0, S14.1-, S24.0, S24.1-, S34.0-, S34.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• S12 — Fracture of cervical vertebra and other parts of neck[Code First](via S14.1.-): “any associated cervical spinal cord injury (S14.0, S14.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Use Additional Code instructions

• S17 — Crushing injury of neck[Use Additional Code](via S14.1.-): “spinal cord injury (S14.0, S14.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Code Also instructions

• S11 — Open wound of neck[Code Also](via S14.1.-): “spinal cord injury (S14.0, S14.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• S13.1 — Subluxation and dislocation of cervical vertebrae[Code Also](via S14.1.-): “spinal cord injury (S14.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Clinical classification (CCSR)

• INJ046 — Spinal cord injury (SCI), subsequent encounter[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)

Risk adjustment (CMS-HCC)

• HCC 180 — Quadriplegia [CMS-HCC]: “Quadriplegia — supersedes HCC 181 (Paraplegia), HCC 182 (Spinal Cord Disorders/Injuries), HCC 253 (Hemiplegia/Hemiparesis), HCC 254 (Monoplegia, Other Paralytic Syndromes)”— CMS-HCC V28 · 2026

MS-DRG Grouper

• DRG 949 — AFTERCARE WITH CC/MCC[MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• DRG 950 — AFTERCARE WITHOUT CC/MCC[MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026

MDC crossing

• MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services[MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1,235 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

• Injury, spinal (cord), cervical (neck), complete lesion, C3 level[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (40)

• S14 — Injury of nerves and spinal cord at neck level[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S14.107S — Unspecified injury at C7 level of cervical spinal cord, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S14.108 — Unspecified injury at C8 level of cervical spinal cord[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S14.108A — Unspecified injury at C8 level of cervical spinal cord, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S14.108D — Unspecified injury at C8 level of cervical spinal cord, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S14.108S — Unspecified injury at C8 level of cervical spinal cord, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S14.109 — Unspecified injury at unspecified level of cervical spinal cord[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S14.109A — Unspecified injury at unspecified level of cervical spinal cord, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• and 32 more

Change history

• FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data

CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page

Claim edits Official source data

CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page

Inpatient payment groups Official source data

CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page

Risk adjustment Official source data

2026 Mid-Year Final ICD-10 Mappings + Model Software (cms.gov/files/zip/2026-midyear-final-icd-10-mappings.zip, 2026-midyear-final-model-software.zip) — CMS-HCC V28, PY2026 mid-year final release Release, file and checksum · Publisher’s page

Change history and date-of-service validity Official source data

CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page

Comparisons, relationships and the contextual map MedCoder structured relationship

Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears

Summary and FAQ answers MedCoder explanation

Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S14.113D in its code family, with their registry titles.

• S14.112A — Complete lesion at C2 level of cervical spinal cord, initial encounter
• S14.112D — Complete lesion at C2 level of cervical spinal cord, subsequent encounter
• S14.112S — Complete lesion at C2 level of cervical spinal cord, sequela
• S14.113 — Complete lesion at C3 level of cervical spinal cord
• S14.113A — Complete lesion at C3 level of cervical spinal cord, initial encounter
• S14.113S — Complete lesion at C3 level of cervical spinal cord, sequela
• S14.114 — Complete lesion at C4 level of cervical spinal cord
• S14.114A — Complete lesion at C4 level of cervical spinal cord, initial encounter
• S14.114D — Complete lesion at C4 level of cervical spinal cord, subsequent encounter
• S14.114S — Complete lesion at C4 level of cervical spinal cord, sequela

View all codes in the S14 family