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.
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
S16.9XXA 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
S16.9XXA 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.
- A56908Billing and Coding: Blepharoplasty, Blepharoptosis and Brow Lift
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Related codes at this level
Codes that share S16.9. If S16.9XXA is not quite right, the correct code is usually one of these.
Questions about S16.9XXA
- Is S16.9XXA a billable ICD-10-CM code?
- Yes. S16.9XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S16.9XXA 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).