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Home/Diagnosis/ICD-10 Coding for Lumbar Muscle Strain

ICD-10 Coding for Lumbar Muscle Strain

S39.012A
M54.50

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

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

Essential facts and insights about ICD-10 Coding for Lumbar 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

clinical:
  • • Presence of traumatic injury and muscle tenderness
coding:
  • • Excludes M54.5 when strain is confirmed

Applicable To

  • • Acute lumbar muscle strain

Important Notes

  • • Ensure documentation specifies 'strain' and traumatic cause.

Chronic non-specific low back pain

Billable Code
M54.50
Billable

Diagnostic Criteria

clinical:
  • • Pain >3 months
  • • No clear structural cause

Applicable To

  • • Chronic idiopathic low back pain

Important Notes

  • • Ensure chronicity and non-specific nature are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to trauma

Use if pain persists beyond 3 months post-injury.

Frequently Asked Questions

What is the ICD-10 code for lumbar muscle strain?

The ICD-10 code for lumbar muscle strain is S39.012, used for acute strain due to traumatic injury.

How do you code chronic lumbar pain?

Chronic lumbar pain without specific injury is coded as M54.50, indicating non-specific low back pain.

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