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Home/Diagnosis/ICD-10 Coding for Neck Strain

ICD-10 Coding for Neck Strain

S16.1XXA

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

Also Known as:
Cervical Strain
Neck Muscle Strain
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Key Information: ICD-10 Coding for Neck Strain

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

Primary ICD-10-CM Codes

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

Billable Code
S16.1XXA
Billable

Diagnostic Criteria

clinical:
  • • Presence of muscle tenderness and limited range of motion
documentation:
  • • Detailed mechanism of injury and specific muscle involvement

Applicable To

  • • Acute neck strain
  • • Cervical muscle strain

Important Notes

  • • Ensure documentation specifies the exact muscle or tendon involved and the mechanism of injury.
Ancillary Codes

Additional codes that may be used with this diagnosis

W01.XXXA

Fall on same level from slipping, tripping and stumbling, initial encounter

Use to describe the external cause of the neck strain.

Frequently Asked Questions

What is the ICD-10 code for neck strain?

The ICD-10 code for neck strain is S16.1XXA, used for initial encounters involving strain of muscle, fascia, and tendon at the neck level.

How do you code a neck strain from a fall?

For a neck strain from a fall, use S16.1XXA for the strain and an external cause code like W01.XXXA to describe the fall.

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