Complete ICD-10-CM coding and documentation guide for icd-10 coding for back 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 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
Chronic pain due to trauma
Use when chronic pain persists beyond the acute phase due to a previous traumatic event.
The ICD-10 code for back strain is S39.012A, used for initial encounters involving a strain of the muscle, fascia, and tendon of the lower back.
For a lumbar strain, use ICD-10 code S39.012A if the injury is acute and due to a traumatic event. Ensure documentation specifies the mechanism of injury.