Complete ICD-10-CM coding and documentation guide for icd-10 coding for back muscle strain includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Back Muscle Strain
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 as an ancillary code if pain persists beyond the acute phase of the strain.
The ICD-10 code for a strain of the lower back muscle is S39.012A, while S29.012A is used for upper back muscle strain.
Use S39.012A or S29.012A for the strain and M54.5 as an ancillary code if pain persists.