S03.8XXA

S03.8XXA: Sprain of joints and ligaments of other parts of head, initial encounter

Billable / specific codeICD-10-CM

S03.8XXA is a billable, specific ICD-10-CM code for sprain of joints and ligaments of other parts of head, initial encounter. It is valid for submission on a claim.

Check S03.8XXA with the rest of the claim: free scrubber

7th character "A": initial encounter

The appropriate 7th character is to be added to each code from category S03

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 inherited from the categories above S03.8XXA

Not part of this code, but both may be coded when both are present.

Written on S03: Dislocation and sprain of joints and ligaments of head

Strain of muscle or tendon of head (S09.1)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S03.8XXA is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy
A57079Billing and Coding: Injections - Tendon, Ligament, and Ganglion Cyst
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Code history

Unchanged in every release from FY2024 to FY2027.