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.
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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.
Additional codes that may be used with this diagnosis
Low back pain
Use alongside S39.012A if pain is a significant symptom.
The ICD-10 code for a back injury, specifically a strain, is S39.012A. For non-specific low back pain, use M54.5.
Use M54.5 for low back pain without a specific injury. S39.012A is for confirmed strains with a traumatic mechanism.