NA23.4

ICD-11 MMS 2026-01

Strain or sprain of cervical spine

Description

A collective term for muscle and ligament injuries of the tissues associated with the cervical spine without dislocation or fracture; a joint injury in which some of the fibers of a supporting ligament are ruptured but the continuity of the ligament remains intact. A strain is an overstretching or overexertion of some part of the musculature.

Coding note from above levels

This Block includes the following: • injuries of nape • injuries of supraclavicular region • injuries of throat

Inclusions

  • Whiplash injury

Exclusions from above levels

  • http://id.who.int/icd/entity/1121827324 – injury of trunk NOS
  • http://id.who.int/icd/entity/152692065 – Frostbite
  • ND50 – fracture of spine NOS
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  • ND51 – injury of spinal cord NOS
  • ND72.2 – effects of foreign body in: pharynx
  • ND72.3 – effects of foreign body in: larynx
  • ND72.4 – effects of foreign body in: trachea
  • ND73.1 – effects of foreign body in: oesophagus
  • ND90 – burns and corrosions
  • FB80.7 – Malunion of fracture
  • FB80.8 – Nonunion of fracture
  • FB80.A – Stress fracture, not elsewhere classified
  • FB80.B – Pathological fracture
  • http://id.who.int/icd/entity/624443803 – Birth injury
  • JB0A – Certain specified obstetric trauma

Child codes

  • NA23.40 – Acute whiplash associated disorder with complaint of neck pain, stiffness or tenderness only
  • NA23.41 – Acute whiplash associated disorder with complaint of neck pain with musculoskeletal signs
  • NA23.42 – Acute whiplash associated disorder with complaint of neck pain with neurological signs
  • NA23.4Y – Other specified strain or sprain of cervical spine
  • NA23.4Z – Strain or sprain of cervical spine, unspecified

Sibling codes

  • NA23.0 – Traumatic rupture of cervical intervertebral disc
  • NA23.1 – Dislocation of cervical vertebra
  • NA23.2 – Dislocation of other or unspecified parts of neck
  • NA23.3 – Multiple dislocations of neck
  • NA23.5 – Strain or sprain of thyroid region
  • NA23.Y – Other specified dislocation or strain or sprain of joints or ligaments at neck level
  • NA23.Z – Dislocation or strain or sprain of joints or ligaments at neck level, unspecified

Foundation entity

Strain or sprain of cervical spine – http://id.who.int/icd/entity/1817741506

Allowed postcoordination axes

Part of: NA23: Dislocation or strain or sprain of joints or ligaments at neck level › 22: Injury, poisoning or certain other consequences of external causes