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

ICD-10 Coding for Cervical Sprain/Strain

S13.4XXA
S16.1XXA

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

Also Known as:
Neck Sprain
Neck Strain
Whiplash
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Key Information: ICD-10 Coding for Cervical Sprain/Strain

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

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

  • • Localized ligament tenderness
  • • Positive cervical stress tests
  • • Dynamic X-ray showing >3.5mm interspinous widening

Applicable To

  • • Acute whiplash
  • • Cervical ligament injury

Important Notes

  • • Ensure seventh character 'A' for initial encounter.

Strain of muscle, fascia and tendon at neck level, initial encounter

Billable Code
S16.1XXA
Billable

Diagnostic Criteria

  • • Palpable muscle knot
  • • Pain on resisted neck flexion

Applicable To

  • • Acute muscle tear
  • • Neck muscle strain

Important Notes

  • • Ensure seventh character 'A' for initial encounter.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.2

Cervicalgia

Use for chronic pain following resolution of acute sprain.

Frequently Asked Questions

What is the ICD-10 code for cervical sprain?

The ICD-10 code for cervical sprain is S13.4XXA for the initial encounter, indicating ligament injury in the cervical region.

How do you code a cervical strain?

Cervical strain is coded as S16.1XXA for the initial encounter, representing muscle or tendon injury at the neck level.

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