Complete ICD-10-CM coding and documentation guide for icd-10 coding for lower back strain 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 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.
Additional codes that may be used with this diagnosis
Accidental overexertion from lifting
Use to document the mechanism of injury.
Accidental overexertion from lifting, subsequent encounter
Use to document the mechanism of injury in follow-up visits.
The ICD-10 code for lower back strain is S39.012-, with a 7th character to specify the encounter type.
Document the mechanism of injury, physical exam findings like tenderness and spasm, and specify the encounter type.