Complete ICD-10-CM coding and documentation guide for icd-10 coding for lumbosacral strain includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Lumbosacral 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
BMI ≥40 if obesity contributes
Use when obesity is a contributing factor to the strain.
The ICD-10 code for lumbosacral strain is S39.012A for initial encounters, S39.012D for subsequent encounters, and S39.012S for sequela.
Lumbosacral strain (S39.012) is used when a specific injury is documented, while M54.5 is for non-specific low back pain without a confirmed strain.