S33.5XXD
S33.5XXD: Sprain of ligaments of lumbar spine, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
S33.5XXD is a billable, specific ICD-10-CM code for sprain of ligaments of lumbar spine, subsequent encounter. It is valid for submission on a claim.
Check S33.5XXD with the rest of the claim: free scrubber7th character "D": subsequent encounter
The appropriate 7th character is to be added to each code from category S33
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above S33.5XXD
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S33.5XXD
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S33.5XXD 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
- A57206Billing and Coding: Lumbar MRI
Code history
Unchanged in every release from FY2024 to FY2027.