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Home/Diagnosis/ICD-10 Coding for Neck Sprain

ICD-10 Coding for Neck Sprain

S13.4XXA
S13.4XXD

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

Also Known as:
Cervical Sprain
Whiplash
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Key Information: ICD-10 Coding for Neck Sprain

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

Use ICD-10 code S13.4XXA for sprain of ligaments of cervical spine, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of ligaments of cervical spine, initial encounter

Billable Code
S13.4XXA
Billable

Diagnostic Criteria

clinical:
  • • Acute trauma with localized cervical ligament/joint injury
documentation:
  • • Specific ligament or joint details must be documented

Applicable To

  • • Whiplash injury

Important Notes

  • • Ensure documentation specifies the ligaments or joints involved in the sprain.

Sprain of ligaments of cervical spine, subsequent encounter

Billable Code
S13.4XXD
Billable

Diagnostic Criteria

clinical:
  • • Ongoing care for cervical sprain after initial treatment
  • • Continued symptoms such as pain or limited ROM

Applicable To

  • • Follow-up care for ongoing sprain management

Important Notes

  • • Ensure documentation includes ongoing care details and response to treatment.
Ancillary Codes

Additional codes that may be used with this diagnosis

S16.1XXA

Strain of muscle, fascia and tendon at neck level, initial encounter

Use when there is concurrent muscle or tendon strain with cervical sprain.

S16.1XXD

Strain of muscle, fascia and tendon at neck level, subsequent encounter

Use when there is concurrent muscle or tendon strain with cervical sprain.

Frequently Asked Questions

What is the ICD-10 code for neck sprain?

The ICD-10 code for neck sprain is S13.4XXA for the initial encounter and S13.4XXD for subsequent encounters.

How do you document a neck sprain?

Document the mechanism of injury, specific ligaments or joints involved, and physical exam findings such as ROM limitations and tenderness.

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