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Home/Diagnosis/ICD-10 Coding for Abdominal Strain

ICD-10 Coding for Abdominal Strain

S39.011A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for abdominal strain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Abdominal Muscle Strain
Abdominal Wall Strain
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Key Information: ICD-10 Coding for Abdominal Strain

Essential facts and insights about ICD-10 Coding for Abdominal Strain

Use ICD-10 code S39.011A for strain of muscle and tendon of abdomen, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of muscle and tendon of abdomen, initial encounter

Billable Code
S39.011A
Billable

Diagnostic Criteria

clinical:
  • • Presence of traumatic mechanism and localized pain
documentation:
  • • Specific muscle group and mechanism of injury documented

Applicable To

  • • Acute abdominal muscle strain

Important Notes

  • • Ensure to specify the encounter type with the appropriate 7th character.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.11

Right upper quadrant pain

Use when documenting pain in the right upper quadrant associated with the strain.

Frequently Asked Questions

What is the ICD-10 code for abdominal strain?

The ICD-10 code for abdominal strain is S39.011A, used for initial encounters with documented mechanism and clinical findings.

How do you document an abdominal strain?

Document the specific muscle group, mechanism of injury, and pain location. Include physical exam findings and any imaging results.

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