S34.01XD — Concussion and edema of lumbar spinal cord, subsequent encounter
S34.01XD is a billable, specific ICD-10-CM code for concussion and edema of lumbar spinal cord, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category S34
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S34.01XD risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 182 Spinal Cord Disorders/Injuries0.478 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
S34.01XD is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53065Billing and Coding: Outpatient Physical Therapy
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
- A56619Billing and Coding: Nerve Conduction Studies and Electromyography
Related codes at this level
Codes that share S34.01. If S34.01XD is not quite right, the correct code is usually one of these.
Questions about S34.01XD
- Is S34.01XD a billable ICD-10-CM code?
- Yes. S34.01XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S34.01XD sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).