Complete ICD-10-CM coding and documentation guide for icd-10 coding for upper back strain includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Upper Back Strain
Use ICD-10 code S29.012A for strain of muscle and tendon of back wall of thorax, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Chronic pain due to trauma
Use when chronic pain persists beyond 3 months post-strain.
The ICD-10 code for an initial encounter of upper back strain is S29.012A. Subsequent encounters use S29.012D, and sequelae are coded as S29.012S.
Chronic pain from an upper back strain is coded with G89.21, used as an ancillary code alongside the primary strain code.