Complete ICD-10-CM coding and documentation guide for icd-10 coding for lower back injury includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Lower Back Injury
Use ICD-10 code S39.012A for strain of muscle, fascia 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 for documenting associated pain with the strain.
Intervertebral disc disorders with myelopathy, lumbar region
Use when disc disorders are also present.
The ICD-10 code for a lower back strain is S39.012A, which is used for acute strains of the lower back muscles.
Chronic lower back pain without a specific injury is coded as M54.5, while vertebrogenic pain with MRI findings is coded as M54.51.