Complete ICD-10-CM coding and documentation guide for icd-10 coding for neck muscle strain includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Neck Muscle Strain
Use ICD-10 code S16.1XXA for strain of muscle, fascia and tendon at neck level, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Muscle spasm of back
Use when muscle spasms are present alongside the strain.
The ICD-10 code for neck muscle strain is S16.1XXA, used for acute traumatic strains of neck muscles.
Document the specific muscles affected, mechanism of injury, and any limitations in range of motion.