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

ICD-10 Coding for Lumbar Spine Strain

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

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

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

Essential facts and insights about ICD-10 Coding for Lumbar Spine 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 localized tenderness and documented trauma
coding:
  • • Excludes use with M54.5 due to Excludes1 note

Applicable To

  • • Acute lumbar strain

Important Notes

  • • Ensure documentation specifies 'strain' and mechanism of injury to avoid miscoding.

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

Billable Code
S39.012D
Billable

Applicable To

  • • Follow-up care for lumbar strain

Important Notes

  • • Ensure follow-up documentation reflects ongoing treatment and progress.

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

Billable Code
S39.012S
Billable

Applicable To

  • • Chronic instability or complications post-strain

Important Notes

  • • Document the specific sequelae and its direct link to the original strain.
Ancillary Codes

Additional codes that may be used with this diagnosis

W01.XXXA

Fall on same level from slipping, tripping and stumbling, initial encounter

Use to specify the external cause of the lumbar strain.

Frequently Asked Questions

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

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

How do you differentiate between lumbar strain and low back pain?

Lumbar strain involves specific muscle injury with documented trauma, while low back pain (M54.5) is non-specific and lacks a confirmed strain.

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