Complete ICD-10-CM coding and documentation guide for icd-10 coding for low back injury includes clinical validation requirements, medical necessity guidelines, and coding policies.
Save 2+ hours daily with instant clinical documentation.
Our AI scribe listens, understands, and generates comprehensive medical notes so you can focus on patient care.
Save 2+ hours daily with instant, HIPAA-compliant clinical documentation.
Experience real-time transcription and automatic note creation in seconds.
Start recording to see live conversation transcription.
© 2025 DocScrib. All rights reserved. Powered by Docscrib.com
Essential facts and insights about ICD-10 Coding for Low Back Injury
Use ICD-10 code S39.002A for unspecified injury of muscle 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 to document associated pain symptoms.
The ICD-10 code for an unspecified low back injury is S39.002A. For specific strains, use S39.012A.
Low back pain is coded as M54.5 in ICD-10. Use this code when pain is the primary symptom without a specific injury.