Unspecified injury to L4 level of lumbar spinal cord

• birth trauma (P10-P15)
• obstetric trauma (O70-O71)

code to identify any retained foreign body, if applicable (Z18.-)

• 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.

• injuries to the abdominal wall
• injuries to the anus
• injuries to the buttock
• injuries to the external genitalia
• injuries to the flank
• injuries to the groin

• burns and corrosions (T20-T32)
• effects of foreign body in anus and rectum (T18.5)
• effects of foreign body in genitourinary tract (T19.-)
• effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
• frostbite (T33-T34)
• insect bite or sting, venomous (T63.4)

• any associated:
• fracture of vertebra (S22.0-, S32.0-)
• open wound of abdomen, lower back and pelvis (S31.-)
• transient paralysis (R29.5)

• Code to highest level of lumbar cord injury
• Injuries to the spinal cord (S34.0 and S34.1) refer to the cord level and not bone level injury, and can affect nerve roots at and below the level given.

The appropriate 7th character is to be added to each code from category S34