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Home/Diagnosis/ICD-10 Coding for Lumbosacral Sprain

ICD-10 Coding for Lumbosacral Sprain

S33.5XXA
S39.012A

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

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

Essential facts and insights about ICD-10 Coding for Lumbosacral 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 ligamentous instability at L5-S1
documentation:
  • • Documentation must include specific ligament involvement

Applicable To

  • • Complete tear of iliolumbar ligament

Important Notes

  • • Ensure documentation specifies ligament involvement to avoid audits.

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

Billable Code
S39.012A
Billable

Applicable To

  • • Partial tear of right quadratus lumborum tendon

Important Notes

  • • Ensure documentation specifies muscle or tendon involvement.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.5

Low back pain

Use when the etiology of back pain is unspecified.

Frequently Asked Questions

What is the ICD-10 code for lumbosacral sprain?

The ICD-10 code for a lumbosacral sprain is S33.5XXA for initial encounters, indicating a sprain of the ligaments in the lumbar spine.

How do you differentiate between a lumbar sprain and strain?

A lumbar sprain involves ligaments and is coded as S33.5XXA, while a strain involves muscles or tendons, coded as S39.012A.

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