S13.5XXA

S13.5XXA: Sprain of thyroid region, initial encounter

Billable / specific codeICD-10-CM

S13.5XXA is a billable, specific ICD-10-CM code for sprain of thyroid region, initial encounter. It is valid for submission on a claim.

Check S13.5XXA with the rest of the claim: free scrubber

7th 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

Inclusion terms

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

Sprain of cricoarytenoid (joint) (ligament)
Sprain of cricothyroid (joint) (ligament)
Sprain of thyroid cartilage

Excludes2 inherited from the categories above S13.5XXA

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)

Risk adjustment

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

Medicare coverage

S13.5XXA 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.