S03.9XXD
S03.9XXD — Sprain of joints and ligaments of unspecified parts of head, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
S03.9XXD is a billable, specific ICD-10-CM code for sprain of joints and ligaments of unspecified parts of head, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category S03
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S03.9XXD does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S03.9XXD is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S03.9. If S03.9XXD is not quite right, the correct code is usually one of these.
Questions about S03.9XXD
- Is S03.9XXD a billable ICD-10-CM code?
- Yes. S03.9XXD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S03.9XXD sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the head (S00-S09).