S34.109D — Unspecified injury to unspecified level of lumbar spinal cord, subsequent encounter
S34.109D is a billable, specific ICD-10-CM code for unspecified injury to unspecified level 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
S34.109D 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
S34.109D is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57188Billing and Coding: Routine Foot Care
- A57188Billing and Coding: Routine Foot Care
- A57455Billing and Coding: Urodynamics
- A57540Billing and Coding: Somatosensory Testing
Related codes at this level
Codes that share S34.109. If S34.109D is not quite right, the correct code is usually one of these.
Questions about S34.109D
- Is S34.109D a billable ICD-10-CM code?
- Yes. S34.109D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S34.109D 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).