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Home/Diagnosis/ICD-10 Coding for Cervical Spine Sprain

ICD-10 Coding for Cervical Spine Sprain

S13.4XXA
S13.4XXD
S13.4XXS

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

Also Known as:
Neck Sprain
Cervical Ligament Sprain
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Key Information: ICD-10 Coding for Cervical Spine Sprain

Essential facts and insights about ICD-10 Coding for Cervical Spine Sprain

Use ICD-10 code S13.4XXA for sprain of ligaments of cervical spine, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of ligaments of cervical spine, initial encounter

Billable Code
S13.4XXA
Billable

Diagnostic Criteria

clinical:
  • • Presence of ligament tenderness and limited ROM post-injury
coding:
  • • Use 'A' for initial encounters

Applicable To

  • • Sprain of anterior longitudinal ligament
  • • Sprain of atlanto-occipital joint

Important Notes

  • • Ensure documentation specifies the exact ligament involved to avoid unspecified coding.

Sprain of ligaments of cervical spine, subsequent encounter

Billable Code
S13.4XXD
Billable

Diagnostic Criteria

clinical:
  • • Ongoing treatment or rehabilitation for cervical spine sprain
coding:
  • • Use 'D' for subsequent encounters

Important Notes

  • • Ensure transition from 'A' to 'D' is documented in patient records.

Sprain of ligaments of cervical spine, sequelae

Billable Code
S13.4XXS
Billable

Diagnostic Criteria

clinical:
  • • Chronic instability or pain post-healing of initial sprain
coding:
  • • Use 'S' for sequelae

Important Notes

  • • Document the original injury date and sequelae symptoms.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.2

Cervicalgia

Use if pain persists beyond the acute phase.

Frequently Asked Questions

What is the ICD-10 code for cervical spine sprain?

The ICD-10 code for cervical spine sprain is S13.4XXA for initial encounters, S13.4XXD for subsequent encounters, and S13.4XXS for sequelae.

How do you document a cervical spine sprain?

Document the specific ligament involved, mechanism of injury, and clinical findings such as tenderness and range of motion limitations.

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