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Home/Diagnosis/ICD-10 Coding for Back Trauma

ICD-10 Coding for Back Trauma

S39.012A
S32.0XXA

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

Also Known as:
Back Injury
Spinal Trauma
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Key Information: ICD-10 Coding for Back Trauma

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

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 traumatic event leading to muscle strain

Applicable To

  • • Tear of muscle of lower back
  • • Overstretching of lower back

Important Notes

  • • Ensure documentation clearly differentiates between strain and general back pain.

Fracture of lumbar vertebra, initial encounter

Non-Billable
S32.0XXA
Non-Billable

Applicable To

  • • Lumbar vertebra fracture

Important Notes

  • • Document whether the fracture is open or closed.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to trauma

Use for chronic pain resulting from a back injury.

Frequently Asked Questions

What is the ICD-10 code for back trauma?

The ICD-10 code for back trauma varies based on the specific injury, such as S39.012A for a lower back strain or S32.0XXA for a lumbar fracture.

How do you code chronic pain due to back trauma?

Chronic pain due to back trauma is coded with G89.21, often in conjunction with the original injury code with a sequela character.

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