Complete ICD-10-CM coding and documentation guide for icd-10 coding for muscle strain of the back includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Muscle Strain of the Back
Use ICD-10 code S29.012A for strain of muscle/tendon of upper back (thoracic), initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Muscle spasm of back
Use if muscle spasms are present with the strain.
The ICD-10 code for muscle strain in the upper back is S29.012A, while for the lower back it is S39.012A.
Document the mechanism of injury, specific muscle groups involved, and clinical findings like tenderness and limited ROM.