S13.0XXD — Traumatic rupture of cervical intervertebral disc, subsequent encounter
S13.0XXD is a billable, specific ICD-10-CM code for traumatic rupture of cervical intervertebral disc, 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 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.-)
Risk adjustment
S13.0XXD 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
S13.0XXD is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
Related codes at this level
Codes that share S13.0. If S13.0XXD is not quite right, the correct code is usually one of these.
Questions about S13.0XXD
- Is S13.0XXD a billable ICD-10-CM code?
- Yes. S13.0XXD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S13.0XXD sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the neck (S10-S19).
- What cannot be coded together with S13.0XXD?
- S13.0XXD carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.