S16.9XXA
S16.9XXA: Unspecified injury of muscle, fascia and tendon at neck level, initial encounter
Billable / specific codeICD-10-CM
S16.9XXA is a billable, specific ICD-10-CM code for unspecified injury of muscle, fascia and tendon at neck level, initial encounter. It is valid for submission on a claim.
Check S16.9XXA with the rest of the claim: free scrubber7th 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
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S16.9XXA is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56908Billing and Coding: Blepharoplasty, Blepharoptosis and Brow Lift
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Code history
Unchanged in every release from FY2024 to FY2027.