S09.11XD

S09.11XD: Strain of muscle and tendon of head, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

S09.11XD is a billable, specific ICD-10-CM code for strain of muscle and tendon of head, subsequent encounter. It is valid for submission on a claim.

Check S09.11XD with the rest of the claim: free scrubber

7th character "D": subsequent encounter

The appropriate 7th character is to be added to each code from category S09

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 inherited from the categories above S09.11XD

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

Written on S09.1: Injury of muscle and tendon of head

sprain to joints and ligament of head (S03.9)

Risk adjustment

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

Medicare coverage

S09.11XD is named in 5 Medicare coverage policies: 5 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
A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Code history

Unchanged in every release from FY2024 to FY2027.