S16.2XXA
S16.2XXA — Laceration of muscle, fascia and tendon at neck level, initial encounter
Billable / specific codeICD-10-CM
S16.2XXA is a billable, specific ICD-10-CM code for laceration of muscle, fascia and tendon at neck level, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S16
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S16.2XXA 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
S16.2XXA is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52438Billing and Coding: Tetanus Immunization
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A55909Billing and Coding: Wound Care
Related codes at this level
Codes that share S16.2. If S16.2XXA is not quite right, the correct code is usually one of these.
Questions about S16.2XXA
- Is S16.2XXA a billable ICD-10-CM code?
- Yes. S16.2XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S16.2XXA 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).