S16.8XXS
S16.8XXS — Other specified injury of muscle, fascia and tendon at neck level, sequela
Billable / specific codeICD-10-CMPOA exempt
S16.8XXS is a billable, specific ICD-10-CM code for other specified injury of muscle, fascia and tendon at neck level, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S16
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S16.8XXS 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
S16.8XXS is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share S16.8. If S16.8XXS is not quite right, the correct code is usually one of these.
Questions about S16.8XXS
- Is S16.8XXS a billable ICD-10-CM code?
- Yes. S16.8XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S16.8XXS 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).