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S14.144 ICD-10-CM Code: Brown-Séquard syndrome at C4 level of cervical spinal cord

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Brown-Séquard syndrome at C4 level of cervical spinal cord is a non-billable ICD-10-CM category code (S14.144). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S14.144 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • injuries of nape
  • injuries of supraclavicular region
  • injuries of throat

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code Also

Additional codes that may be required to fully describe the encounter.

  • any associated:
  • fracture of cervical vertebra (S12.0--S12.6.-)
  • open wound of neck (S11.-)
  • transient paralysis (R29.5)

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Injury, spinal (cord), cervical (neck), Brown-Séquard syndrome, C4 level

Frequently Compared Codes

The official Excludes notes on S14.144 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

Verify Before Coding

  • Not billable as written — a more specific code is required.
  • Requires a 7th character. "The appropriate 7th character is to be added to each code from category S14" Options: S14.144A, S14.144D, S14.144S

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

Relationships & Classification

Other codes that name S14.144 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.

2 Code First instructions across 2 chapters: R29.5 (via S14.1.-), S12 (via S14.1.-).

1 Use Additional Code instructions: S17 (via S14.1.-).

2 Code Also instructions: S11 (via S14.1.-), S13.1 (via S14.1.-).

Contextual Map

Every relationship of S14.144 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.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • S10-S19 — Injuries to the neck [Hierarchy]

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-)” · check together
  • 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-)” · check together

Referenced by Use Additional Code instructions

  • S17 — Crushing injury of neck [Use Additional Code](via S14.1.-): “spinal cord injury (S14.0, S14.1-)” · check together

Referenced by Code Also instructions

  • S11 — Open wound of neck [Code Also](via S14.1.-): “spinal cord injury (S14.0, S14.1-)” · check together
  • S13.1 — Subluxation and dislocation of cervical vertebrae [Code Also](via S14.1.-): “spinal cord injury (S14.1-)” · check together

Index entries

  • Injury, spinal (cord), cervical (neck), Brown-Séquard syndrome, C4 level[Index term]

Nearest codes (40)

  • S14 — Injury of nerves and spinal cord at neck level [Sibling]
  • S14.138A — Anterior cord syndrome at C8 level of cervical spinal cord, initial encounter [Sibling]
  • S14.138D — Anterior cord syndrome at C8 level of cervical spinal cord, subsequent encounter [Sibling]
  • S14.138S — Anterior cord syndrome at C8 level of cervical spinal cord, sequela [Sibling]
  • S14.139 — Anterior cord syndrome at unspecified level of cervical spinal cord [Sibling]
  • S14.139A — Anterior cord syndrome at unspecified level of cervical spinal cord, initial encounter [Sibling]
  • S14.139D — Anterior cord syndrome at unspecified level of cervical spinal cord, subsequent encounter [Sibling]
  • S14.139S — Anterior cord syndrome at unspecified level of cervical spinal cord, sequela [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S14.144 be billed directly?

No. S14.144 (Brown-Séquard syndrome at C4 level of cervical spinal cord) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S14.144 require a 7th character?

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

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S14.144 in its code family, with their registry titles.

  • S14.142S — Brown-Séquard syndrome at C2 level of cervical spinal cord, sequela
  • S14.143 — Brown-Séquard syndrome at C3 level of cervical spinal cord
  • S14.143A — Brown-Séquard syndrome at C3 level of cervical spinal cord, initial encounter
  • S14.143D — Brown-Séquard syndrome at C3 level of cervical spinal cord, subsequent encounter
  • S14.143S — Brown-Séquard syndrome at C3 level of cervical spinal cord, sequela
  • S14.144A — Brown-Séquard syndrome at C4 level of cervical spinal cord, initial encounter
  • S14.144D — Brown-Séquard syndrome at C4 level of cervical spinal cord, subsequent encounter
  • S14.144S — Brown-Séquard syndrome at C4 level of cervical spinal cord, sequela
  • S14.145 — Brown-Séquard syndrome at C5 level of cervical spinal cord
  • S14.145A — Brown-Séquard syndrome at C5 level of cervical spinal cord, initial encounter

View all codes in the S14 family