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S13.4

S13.4: Sprain of ligaments of cervical spine

Non-billable headerICD-10-CM

S13.4 is a non-billable header ICD-10-CM code for sprain of ligaments of cervical spine. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S13

A
initial encounter
D
subsequent encounter
S
sequela

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Sprain of anterior longitudinal (ligament), cervical
  • Sprain of atlanto-axial (joints)
  • Sprain of atlanto-occipital (joints)
  • Whiplash injury of cervical spine

Excludes2 inherited from the categories above S13.4

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

Written on S13: Dislocation and sprain of joints and ligaments at neck level

  • strain of muscle or tendon at neck level (S16.1)

Other codes that can never be billed with S13.4

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • G24.3Spasmodic torticollis

Risk adjustment

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

Alphabetic index entries that lead here

  • Whiplash injury
  • Injury›whiplash(cervical spine)
  • Sprain›anterior longitudinal, cervical
  • Sprain›atlas, atlanto-axial, atlanto-occipital
  • Sprain›cervical, cervicodorsal, cervicothoracic
  • Syndrome›whiplash
  • Torticollis›traumatic, current
  • Sprain›neck›anterior longitudinal cervical ligament
  • Sprain›neck›atlanto-axial joint
  • Sprain›neck›atlanto-occipital joint
  • Sprain›neck›cervical spine
  • Sprain›spine›cervical

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S13.4

3 child codes. Green means billable.

Other codes under S13

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.