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Home/Diagnosis/ICD-10 Coding for Lumbar Sprain

ICD-10 Coding for Lumbar Sprain

S33.5XXA

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

Also Known as:
Lower Back Sprain
Lumbar Ligament Sprain
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Key Information: ICD-10 Coding for Lumbar Sprain

Essential facts and insights about ICD-10 Coding for Lumbar Sprain

Use ICD-10 code S33.5XXA for sprain of ligaments of lumbar spine, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of ligaments of lumbar spine, initial encounter

Billable Code
S33.5XXA
Billable

Diagnostic Criteria

clinical:
  • • Presence of tenderness over lumbar ligaments and restricted ROM
coding:
  • • Use 'A' for active treatment phase

Applicable To

  • • Acute lumbar ligament sprain

Important Notes

  • • Ensure documentation specifies ligament involvement to avoid confusion with muscle strain.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.5

Low back pain

Use as an ancillary code if pain is generalized and etiology is unclear.

Frequently Asked Questions

What is the ICD-10 code for lumbar sprain?

The ICD-10 code for lumbar sprain is S33.5XXA for the initial encounter. It is used for acute lumbar ligament sprain confirmed by physical exam findings.

How do you document a lumbar sprain?

Document specific anatomical location, physical exam findings, ROM measurements, and treatment plan to ensure accurate coding and differentiation from similar conditions.

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