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Home/Diagnosis/ICD-10 Coding for Back Injury

ICD-10 Coding for Back Injury

S39.012A
M54.5

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

Also Known as:
Lumbar Strain
Back Pain
Dorsalgia
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Key Information: ICD-10 Coding for Back Injury

Essential facts and insights about ICD-10 Coding for Back Injury

Use ICD-10 code S39.012A for strain of muscle, fascia and tendon of lower back, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of muscle, fascia and tendon of lower back, initial encounter

Billable Code
S39.012A
Billable

Diagnostic Criteria

  • • Presence of a traumatic event leading to muscle strain

Applicable To

  • • Acute lumbar strain

Important Notes

  • • Ensure documentation specifies the traumatic mechanism and physical findings.

Low back pain

Non-Billable
M54.5
Non-Billable

Applicable To

  • • Lumbago

Important Notes

  • • Document pain location and exclude serious underlying conditions.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.5

Low back pain

Use alongside S39.012A if pain is a significant symptom.

Frequently Asked Questions

What is the ICD-10 code for a back injury?

The ICD-10 code for a back injury, specifically a strain, is S39.012A. For non-specific low back pain, use M54.5.

When should I use M54.5 instead of S39.012A?

Use M54.5 for low back pain without a specific injury. S39.012A is for confirmed strains with a traumatic mechanism.

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