current billable icd code for whiplash

by Betty Kozey III 5 min read

Whiplash injury is classified as neck pain ICD-10 S13. 4.May 18, 2020

Is whiplash a real injury?

Yes, whiplash is real. In fact, it has existed since before the invention of the automobile—when it was called railway spine because of its prevalence as an injury in train accidents. Some confusion exists because whiplash is a colloquialism and not a medical term. However, it certainly describes a set of real medical conditions involving your vertebrae and the ligaments and muscles in your neck and shoulders.

What to do after a whiplash injury?

Your doctor may recommend one or more of the following treatments to lessen pain:

  • Rest. Rest may be helpful for a day or two after your injury, but too much bed rest may delay recovery.
  • Heat or cold. Either heat or cold applied to the neck for 15 minutes every three hours or so can help you feel better.
  • Over-the-counter pain medications. ...
  • Prescription medications. ...
  • Muscle relaxants. ...
  • Injections. ...

What exactly is a whiplash injury?

  • A pain and tightening in the neck, shoulders, and back
  • Stiffness and tenderness in the neck
  • Muscle spasms
  • Nausea and fatigue
  • Visual disturbances, dizziness, and a ringing in the ears
  • Decreased range of motion
  • Headaches that spread to the jaw region and general jaw pain

Is whiplash a serious enough injury for a lawsuit?

You should at least get the process started, even though you may not be aware of the full extent of your injuries or their costs. If you think you need to file a lawsuit, speak with a personal injury attorney first. Whiplash may not seem serious, but in many cases, working without a professional will not get you the most compensation.

What is the ICD-10 diagnosis code for MVA?

V89.2XXAICD-10 code V89. 2XXA for Person injured in unspecified motor-vehicle accident, traffic, initial encounter is a medical classification as listed by WHO under the range - Transport accidents .

What is the ICD-10 code for personal history of MVA?

Personal history of other (healed) physical injury and trauma. Z87. 828 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z87.

Is M54 2 a billable code?

ICD-Code M54. 2 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Cervicalgia. Its corresponding ICD-9 code is 723.1.

What is the ICD-10 code for Driver Injured in MVA?

V49.40XAV49. 40XA - Driver injured in collision with unspecified motor vehicles in traffic accident [initial encounter]. ICD-10-CM.

What is the ICD-10 code for soft tissue injury?

Soft tissue disorder, unspecified M79. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M79. 9 became effective on October 1, 2021.

What is the ICD-10 code for trauma?

Injury, unspecified ICD-10-CM T14. 90XA is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 913 Traumatic injury with mcc. 914 Traumatic injury without mcc.

Is M54 2 still valid?

M54. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M54. 2 became effective on October 1, 2021.

Is M54 5 still valid?

ICD-10 code M54. 5, low back pain, effective October 1, 2021. That means providers cannot use M54. 5 to specify a diagnosis on or after October 1—and existing patients with the M54.

Is M54 5 a billable code?

5 – Low Back Pain. ICD-Code M54. 5 is a billable ICD-10 code used for healthcare diagnosis reimbursement of chronic low back pain. Its corresponding ICD-9 code is 724.2.

What is the ICD-10 code for neck strain?

S16.1XXAICD-10 code S16. 1XXA for Strain of muscle, fascia and tendon at neck level, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

What is the ICD-10 external cause code for car driver in collision with vehicle in traffic?

ICD-10 Code for Car driver injured in collision with car, pick-up truck or van in traffic accident- V43. 5- Codify by AAPC.

What is the ICD-10 code for head injury?

S09.90XAICD-10 Code for Unspecified injury of head, initial encounter- S09. 90XA- Codify by AAPC.

Is cervicalgia a chronic condition?

chronic. Acute neck pain typically lasts less than 7 days, while subacute lasts over 7 days but less than 3 months. And chronic neck pain has a duration of 3 months or more. Symptoms of cervicalgia depend upon the extent of the injury.

What is the diagnosis code for Headache?

Code R51 is the diagnosis code used for Headache. It is the most common form of pain.

What is ICD-10 code for muscle spasm?

ICD-10 | Muscle spasm (M62. 83)

What is the ICD-10 code for right knee pain?

ICD-10 | Pain in right knee (M25. 561)

What is the ICd 9 code for whiplash?

However, in ICD-10 whiplash coding will come under S13.4xx_ (Sprain of ligaments of cervical spine) under category S13 (Dislocation and sprain of joints and ligaments at neck level). Don’t forget to read the long descriptor before assigning the code.

What is a whiplash injury?

A whiplash injury refers to severe muscle strains in the neck and shoulder region, and is coded as “sprain of ligaments of cervical spine.”. It is one of the most common conditions for pain management specialists to treat. The ICD-10 structure offers multiple diagnosis options for coding whiplash injury, but the first-step in reporting should be ...

What does code also mean in S13?

What does “code also” refers to in Category S13. The Category S13 has a “code also” note that means one should also code for any associated open wound. Plus, “Code also” is required to fully describe the condition. In certain cases it may be required to use external cause codes to indicate the circumstances surrounding the injury.

What is the ICD-9 Whiplash Dilemma?

The ICD-9 “whiplash dilemma” is that the code makes no distinction between the two injuries. A physician recently asked me if ICD-10 had a better solution. As I taught about what can be learned from GEMs (General Equivalence Mappings), I pointed out that there are two codes crosswalked to 847.0:

What is S13.4XXA?

S13.4XXA Sprain of ligaments of cervical spine, initial encounter

Is there a strain code for neck?

It appears that there is indeed a separate “strain” code for the neck. Interestingly, when GEMs are used to investigate the ICD-9 code, it points back to 847.0 once again. The path from ICD-9 to ICD-10 does not lead to the strain code, but the ICD-10-to-ICD-9 crosswalk does go back to where one might expect. This is another example of how GEMs can be useful but limiting at the same time.

What is the difference between a whiplash and a CAD?

The term "whiplash" is a colloquialism. "Cervical acceleration-deceleration" (CAD) describes the mechanism of the injury, while the term "whiplash associated disorders" (WAD) describes the injury sequelae and symptoms.

What is the ICD code for a sprain of ligaments of the cervical spine?

ICD Code S13.4 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'sprain of ligaments of cervical spine' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:

What is S13.4?

S13.4. Non- Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," ...