S09.19XS

S09.19XS: Other specified injury of muscle and tendon of head, sequela

Billable / specific codeICD-10-CMPOA exempt

S09.19XS is a billable, specific ICD-10-CM code for other specified injury of muscle and tendon of head, sequela. It is valid for submission on a claim.

Check S09.19XS with the rest of the claim: free scrubber

7th character "S": sequela

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 S09.19XS

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

S09.19XS is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53064Billing and Coding: Outpatient Occupational Therapy
A53065Billing and Coding: Outpatient Physical Therapy
A56612Billing and Coding: CT of the Head
A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy

Code history

Unchanged in every release from FY2024 to FY2027.