S13.0XXA
S13.0XXA: Traumatic rupture of cervical intervertebral disc, initial encounter
Billable / specific codeICD-10-CM
S13.0XXA is a billable, specific ICD-10-CM code for traumatic rupture of cervical intervertebral disc, initial encounter. It is valid for submission on a claim.
Check S13.0XXA with the rest of the claim: free scrubber7th character "A": initial encounter
The appropriate 7th character is to be added to each code from category S13
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- rupture or displacement (nontraumatic) of cervical intervertebral disc NOS (M50.-)
Excludes1 inherited from the categories above S13.0XXA
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S13.0XXA
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S13.0XXA 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
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.