2021 ICD-10-CM Diagnosis Code S13.4XXA Sprain of ligaments of cervical spine, initial encounter 2016 2017 2018 2019 2020 2021 Billable/Specific Code S13.4XXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Whiplash injury to neck ICD-10-CM S13.4XXA is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 551 Medical back problems with mcc 552 Medical back problems without mcc
38 CFR §4.71a is where all of these neck (cervical) and other back injuries are listed. Diagnostic code 5238 is Spinal Stenosis. This is a very specific, but not uncommon, cervical and thoracolumbar spine condition. As your arthritis develops, the spinal canal may narrow, pinching the spinal cord or the nerves around it.
Sprain of ligaments of lumbar spine, initial encounter. The 2019 edition of ICD-10-CM S33.5XXA became effective on October 1, 2018. This is the American ICD-10-CM version of S33.5XXA - other international versions of ICD-10 S33.5XXA may differ.
Sprain of ligaments of cervical spineS13. 4XXA Sprain of ligaments of cervical spine, initial encounter - ICD-10-CM Diagnosis Codes.
Other specified dorsopathies, cervical region The 2022 edition of ICD-10-CM M53. 82 became effective on October 1, 2021.
The 2022 edition of ICD-10-CM M43. 8X6 became effective on October 1, 2021. This is the American ICD-10-CM version of M43. 8X6 - other international versions of ICD-10 M43.
89 - Other specified diseases of spinal cord.
One of the more common causes of straightening of the normal cervical lordosis are car accidents in which the neck ligaments are damaged.
Straightening of the cervical spine means that you have lost the good curve or the lordosis of the cervical spine. As far as it being caused by muscle spasms, I don't know if you were in a car accident or something that would have caused the muscles to be in spasm. It does not mean that you have scoliosis.
M53. 82 - Other specified dorsopathies, cervical region | ICD-10-CM.
Lordosis (also known as swayback) is when the lower back, above the buttocks, curves inward too much, causing the child's abdomen to protrude and buttocks to stick out. Kyphosis is when the upper spine curves too far outward, forming a hump on the upper back.
ICD-10-CM Code for Lordosis, unspecified, lumbar region M40. 56.
(si-ring'gō-mī-ē'lē-ă) The presence in the spinal cord of longitudinal cavities lined by dense, gliogenous tissue, which are not caused by vascular insufficiency.
Disease of spinal cord, unspecified G95. 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 G95. 9 became effective on October 1, 2021.
What Is Myelopathy? Myelopathy is an injury to the spinal cord caused by severe compression that may be a result of spinal stenosis, disc degeneration, disc herniation, autoimmune disorders or other trauma.
There are several ways that a person can lose the natural curve (also called lordosis) of the neck. Here are a couple of the most common reasons it occurs:
When the neck becomes misaligned, or the surrounding soft tissue is damaged, the ability to balance the head properly is thrown off. The result is that more changes take place in the vertebrae and surrounding soft tissue to stabilize the head. This can result in a realignment of the vertebrae until they are in a straight line rather than ...
Each of the cervical vertebrae has loops of bone unique to these vertebrae. The loops provide safe passage for the vertebral arteries, which supply blood to the brain. You can probably see where this is going. Patients in the study who were experiencing straight neck were not getting as much blood flow to the head.
You can probably imagine the many health problems that may occur when the neck loses its natural curvature or, perhaps worse; you develop a reverse curve in the neck. As we’ve already noted, it throws off the balance of the head, so that means shifts in the spine and soft tissue to correct that problem.
With one or more of those curves eliminated, the spine is now under more than the usual strain, from merely carrying around the average size 10 to 12-pound head all day. But it gets worse. Research published in the Medical Science Monitor shows that straighten of the cervical spine disrupts the biomechanics of the body.
If you have experienced a head or neck injury, if you find that you are forced to sit for long periods, or if you are only just starting to understand the need to set limits on technology use, then upper cervical chiropractic care may be for you. To learn more, find a practitioner in your area and schedule a consultation.
These spinal disc codes appear to be a bit complex, but with some study and evaluation, the logic used to create them becomes clear. The provider can use the codes to guide proper documentation and the coder then can select the right codes with confidence.
It is already included in the code. Likewise, don’t code sciatica (M54.3-) if you code for lumbar disc with radiculopathy. It would be redundant. On a side note, lumbar radiculopathy (M54.16) might be used if pain is not yet known to be due a disc, but it radiates from the lumbar spine.
Coding mistakes can cost you. That’s why it’s so important to know ICD-10 for cervical strains and how it applies to chiropractic and the ailments you see frequently in the office. Armed with this knowledge, you can reduce your compliance risks and hopefully avoid issues with billing and revenue.
D: “Subsequent encounter,” or the next visit after active treatment is completed. This is when the chiropractor verifies that treatment was successful and the patient is improving
Each of these two has a separate code. Extensions are used to modify the code and indicate something else about the visit. For instance, “A” shows the visit was, generally speaking, the first patient encounter.
Now it gets a bit more complicated. Each extension is generally used to show when the appointment happened, but in practice it isn’ t that simple. Sadly, many chiropractors make mistakes by adding the wrong extension at the wrong time.
M99.01 Segmental and somatic dysfunction of cervical region ( Medicare code ) M99.11 Subluxation complex (vertebral) of cervical region M25.50 Pain in unspecified joint (Cervical facet) M54.2 Cervicalgia M54.12 Radiculopathy, cervical region M25.60 Stiffness of unspecified joint, not elsewhere classified M25.48 Effusion, other site (Cervical facet) ------------------------------------------------------------------------------------ M47 Spondylosis Includes: • arthrosis or osteoarthritis of spine • degeneration of facet joints M47.811 Spondylosis without myelopathy or radiculopathy, occipito-atlanto-axial region M47.812 Spondylosis without myelopathy or radiculopathy, cervical region M47.21 Other spondylosis with radiculopathy, occipito-atlanto-axial region M47.22 Other spondylosis with radiculopathy, cervical region M47.23 Other spondylosis with radiculopathy, cervicothoracic region M47.892 Other spondylosis, cervical region M47.893 Other spondylosis, cervicothoracic ------------------------------------------------------------------------------------ M46.42 Discitis, unspecified, cervical region M46.43 Discitis, unspecified, cervicothoracic region M50.11 Cervical disc disorder with radiculopathy, occipito-atlanto-axial region • C2-C4 disc disorder with radiculopathy M50.12 Cervical disc disorder with radiculopathy, mid-cervical region • C4-C7 disc disorder with radiculopathy M50.13 Cervical disc disorder with radiculopathy, cervicothoracic region • C7,8-T1 disc disorder with radiculopathy ------------------------------------------------------------------------------------ M70 Soft tissue disorders related to use, overuse and pressure M79.1 Myofascial pain syndrome Excludes: • fibromyalgia (M79.7) • myositis (M60.-) Use additional external cause code to identify the activity causing disorder (Y93.-) Y93.C1 Activity, computer keyboarding Y93.C2 Activity, hand held interactive electronic device Y93.E3 Activity, vacuuming Y93.E4 Activity, ironing Y93.F1 Activity, caregiving, bathing Y93.F2 Activity, caregiving, lifting Y93.F9 Activity, other caregiving Y93.H1 Activity, digging, shoveling and raking Y93.J1 Activity, piano playing Y93.J3 Activity, string instrument playing Y93.K1 Activity, walking an animal ------------------------------------------------------------------------------------ Injuries to the neck (S10-S19) S13.4XXA Sprain of ligaments of cervical spine, initial encounter S14.2XXA Injury of nerve root of cervical spine, initial encounter S14.3XXA Injury of brachial plexus, initial encounter S16.1XXA Strain of muscle, fascia and tendon at neck level, initial encounter ------------------------------------------------------------------------------------ REFERENCE NOTES: For use of the A, D and S extensions S13.4XX A Sprain of ligaments of cervical spine, Initial Encounter = A To be used for ALL Active Care visits S13.4XX D Sprain of ligaments of cervical spine, Subsequent Encounter = D Subsequent Encounter is the visit (s) after the active phase of treatment terminates.
NOTE: Always use the more specific 5 digit code! Cluster Headaches And Other Trigeminal Autonomic Cephalgias 339.00 Cluster headache syndrome, unspecified 339.01 Episodic cluster headache 339.05 Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing 339.09 Other trigeminal autonomic cephalgias Tension Type Headache 339.10 Tension-type headache, unspecified 339.11 Episodic tension-type headache 339.12 Chronic tension-type headache 307.81 Tension Headache Post-traumatic Headache 339.20 Posttraumatic headache, unspecified 339.21 Acute posttraumatic headache 339.22 Chronic posttraumatic headache 339.30 Drug-induced headache, not elsewhere classified Complicated Headache Syndromes 339.41 Hemicrania continua 339.42 New daily persistent headache 339.43 Primary thunderclap headache 339.44 Other complicated headache syndrome Other Specified Headache Syndromes 339.81 Hypnic headache 339.82 Headache associated with sexual activity 339.83 Primary cough headache 339.84 Primary exertional headache 339.85 Primary stabbing headache 339.89 Other specified headache syndromes 784.0 Headache (Facial pain; Pain in head NOS) ------------------------------------------------------------------------------------ OLD ICD-9 CODES.
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:
S13.4XXA Sprain of ligaments of cervical spine, initial encounter
When a muscle or tendon suffers the same fate, it is classified as a strain. These conditions frequently occur simultaneously, but not always. The tissue is collagen in both cases, and the symptoms of the injuries are similar. However, the type of tissue involved can have a very different histological makeup.
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.
Always include all of your conditions such as PTSD, back pain, varicose veins , prostate cancer, hypertension, or whatever on your application. You may be surprised to see what is connected.
Whiplash, disc injury, nerve pinch injury, or repetitive strains can fall into this category. If you were in a jeep or a tank that got the shock of an IED or even just a fender bender, you might have a record of one of these injuries in your medical record.