icd 10 code for sprain of cervical spine

by Janie Kiehn Sr. 5 min read

Sprain of ligaments of cervical spine, initial encounter. S13.4XXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM S13.4XXA became effective on October 1, 2018.

Sprain of ligaments of cervical spine, initial encounter
S13. 4XXA 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 S13. 4XXA became effective on October 1, 2021.

Full Answer

How serious is a cervical spine sprain?

Oct 01, 2021 · Sprain of ligaments of cervical spine, initial encounter. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. S13.4XXA 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 S13.4XXA became effective on October 1, 2021.

Which doctor should I See for cervical spine problems?

Jun 10, 2019 · Here is the basic format: S13.4XXA: Cervical spine sprain at the first encounter. S13.4XXD: Cervical spine sprain, later encounters. S13.4XXS: Cervical spine sprain, for sequelae encounters. S16.1XXA: Cervical spine strain, for the first encounter. S16.1XXD: Cervical spine strain, for subsequent encounters.

Should I see a doctor for my cervical spine pain?

Oct 01, 2021 · Sprain of ligaments of cervical spine. 2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code. S13.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM S13.4 became effective on October 1, 2021.

What is treatment for cervical sprain?

Oct 01, 2021 · S14.109A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Unsp injury at unsp level of cervical spinal cord, init. The 2022 edition of ICD-10-CM S14.109A became effective on October 1, 2021.

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What is a cervical strain?

Cervical strain (sprain of the ligaments of the cervical spine) is a common injury routinely seen in the emergency department (ED). A cervical strain is chiefly the result of a stretch injury to the muscular and ligamentous elements of the cervical spine.Dec 2, 2019

What are the main differences between a cervical sprain and a cervical strain?

Overview. A neck strain is an injury to the muscle or tendon in the neck that generally occurs when the neck muscle or tendon stretches too far and tears. A neck sprain is an injury to the ligaments in the neck. Symptoms of a neck sprain or strain are similar and can vary based on the size of the tear and location.

How do you code an injury in ICD-10?

The ICD 10 coding scheme for reporting injury is as follows:
  1. First three characters: General category.
  2. Fourth character: The type of injury.
  3. Fifth character: Which body part was injured.
  4. Sixth character: Which hand was injured.
  5. Seventh character: The type of encounter (A, D, or S)
May 24, 2018

What is the ICD-10 code for cervical neck pain?

ICD-10 | Cervicalgia (M54. 2)

How is cervical strain diagnosed?

Diagnosing Cervical Strain

We rely partly on a patient's cervical spine range of motion to make a diagnosis, as well as imaging tests like X-rays or computed tomography (CT) scans to rule out any cervical fractures, dislocations or spinal cord injuries.

What does sprain of ligaments of cervical spine mean?

A sprain refers to a ligamentous injury, and the diagnosis of cervical sprain implies that the ligamentous and capsular structures connecting the cervical facet joints and vertebrae have been damaged.Nov 24, 2021

Which code is sequenced first when coding injuries?

The code for the most serious injury, as determined by the provider and the focus of treatment, is sequenced first. Superficial Injuries- Superficial injuries such as abrasions or contusions are not coded when associated with more severe injuries of the same site.

How do you code fracture care?

The general consensus is to use the fracture care codes designated as “closed treatment without manipulation” and bill the initial E/M with modifier 57.Apr 1, 2018

What is the ICD-10 code for back pain?

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

What is cervical pain in neck?

Neck pain is pain in or around the spine beneath your head, known as the cervical spine. Neck pain is a common symptom of many different injuries and medical conditions. You might have axial neck pain (felt mostly in the neck) or radicular neck pain (pain shoots into other areas such as the shoulders or arms).Dec 12, 2019

What is strain of muscle fascia and tendon at neck level?

Neck Strain Definition and Facts

Neck strain is an injury to the muscles and tendons that support and move the head and neck. The neck is susceptible to injury because it is capable of extensive range of motion.

What is the ICD 10 code for cervical radiculopathy?

ICD-10 code: M54. 12 Radiculopathy Cervical region.

What causes neck pain?

Neck pain is very common. Pain may also come from your shoulder, jaw, head, or upper arms. Muscle strain or tension often causes neck pain.

What is a whiplash?

Whiplash, a soft tissue injury to the neck, is also called neck sprain or strain. Treatment depends on the cause, but may include applying ice, taking pain relievers, getting physical therapy or wearing a cervical collar. You rarely need surgery. Cervical MRI scan (Medical Encyclopedia)

What is the GEM crosswalk?

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S13.4XXA its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

Can a cervical spine injury occur without spinal cord injury?

Injuries to the cervical spine may occur with or without associated spinal cord injury. When there is an associated spinal cord injury, it typically is listed first. Injuries of the spinal cord must be documented as:

What is the term for a spinal cord injury?

Injuries of the spinal cord must be documented as: Concussion/edema – There is bruising, inflammation and/or bleeding at the site of the injury, typically causing temporary loss of function, but as the injury heals, most patients experience full recovery of motor and sensory function.

What is traumatic spondylolisthesis?

Traumatic spondylolisthesis refers to a slippage or displacement of the vertebrae from an acute injury, and the severity of the injury can vary significantly. For this reason, traumatic spondylolisthesis is classified as Type I, II, IIA, or III.

What is the most common type of fracture?

At the C2 (axis) vertebra, one of the most common types of fracture is a traumatic spondylolisthesis, which also may be referred to as a Hangman’s fracture. Traumatic spondylolisthesis refers to a slippage or displacement of the vertebrae from an acute injury, and the severity of the injury can vary significantly.

What is a dens fracture?

Dens fractures also are classified by type, with the most common dens fracture being a Type II. A Type II fracture occurs at the base of the dens and is usually transverse. Type I dens fractures are rare and involve an oblique avulsion type of fracture of the tip of the dens.

What is the S13 code?

Codes for dislocation and sprains of the joints and ligaments of the neck are found in category S13. This category includes specific codes for traumatic rupture of the disc (S13.0-), subluxation, and dislocation at each interspace (S13.1-), plus sprain of ligaments such as the anterior longitudinal ligament of the cervical spine (S13.4-).

Who is Lauri Gray?

Lauri Gray, RHIT, CPC, has worked in the health information management field for 30 years. She began her career as a health records supervisor in a multi-specialty clinic. Following that she worked in the managed care industry as a contracting and coding specialist for a major HMO. Most recently she has worked as a clinical technical editor of coding and reimbursement print and electronic products. She has also taught medical coding at the College of Eastern Utah. Areas of expertise include: ICD-10-CM, ICD-10-PCS, ICD-9-CM diagnosis and procedure coding, physician coding and reimbursement, claims adjudication processes, third-party reimbursement, RBRVS and fee schedule development. She is a member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA).

What is the ICd 10 code for cervical spine sprain?

S13.4XXD is a billable diagnosis code used to specify a medical diagnosis of sprain of ligaments of cervical spine, subsequent encounter. The code S13.4XXD is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code S13.4XXD might also be used to specify conditions or terms like acute cervical sprain, atlantoaxial joint sprain, c/o: stiffness, cervical anterior longitudinal ligament sprain, cervical spine sprain , injury to ligament of cervical spine, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#S13.4XX D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like sprain of ligaments of cervical spine. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

What causes neck pain?

Any part of your neck - muscles, bones, joints, tendons, ligaments, or nerves - can cause neck problems. Neck pain is very common. Pain may also come from your shoulder, jaw, head, or upper arms.

What is the GEM crosswalk?

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S13.4XXD its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

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