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Home/Diagnosis/ICD-10 Coding for Low Back Muscle Strain

ICD-10 Coding for Low Back Muscle Strain

S39.012A
S39.012D
S39.012S

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

Also Known as:
Lumbosacral Strain
Lumbar Muscle Strain
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Key Information: ICD-10 Coding for Low Back Muscle Strain

Essential facts and insights about ICD-10 Coding for Low Back Muscle 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.

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 acute onset and localized tenderness

Applicable To

  • • Acute lumbar strain

Important Notes

  • • Ensure documentation specifies the encounter type and mechanism of injury.

Strain of muscle, fascia and tendon of lower back, subsequent encounter

Billable Code
S39.012D
Billable

Applicable To

  • • Follow-up for lumbar strain

Important Notes

  • • Document any changes in treatment or functional status.

Strain of muscle, fascia and tendon of lower back, sequela

Billable Code
S39.012S
Billable

Applicable To

  • • Chronic sequela of lumbar strain

Important Notes

  • • Ensure documentation supports chronicity and sequelae.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to trauma

Use if chronic pain persists after strain.

Frequently Asked Questions

What is the ICD-10 code for low back muscle strain?

The ICD-10 code for low back muscle strain is S39.012A for initial encounters, S39.012D for subsequent encounters, and S39.012S for sequela.

How do you document a low back muscle strain?

Document the mechanism of injury, specific muscle involvement, encounter type, and any imaging results to support the diagnosis of low back muscle strain.

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