S13.8XXD

S13.8XXD: Sprain of joints and ligaments of other parts of neck, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

S13.8XXD is a billable, specific ICD-10-CM code for sprain of joints and ligaments of other parts of neck, subsequent encounter. It is valid for submission on a claim.

Check S13.8XXD with the rest of the claim: free scrubber

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

Excludes2 inherited from the categories above S13.8XXD

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

S13.8XXD is named in 5 Medicare coverage policies: 5 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
A57079Billing and Coding: Injections - Tendon, Ligament, and Ganglion Cyst
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Code history

Unchanged in every release from FY2024 to FY2027.