S34.121S — Incomplete lesion of L1 level of lumbar spinal cord, sequela
S34.121S is a billable, specific ICD-10-CM code for incomplete lesion of l1 level of lumbar spinal cord, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S34
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Incomplete lesion of lumbar spinal cord level 1
Risk adjustment
S34.121S 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
S34.121S is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
Related codes at this level
Codes that share S34.121. If S34.121S is not quite right, the correct code is usually one of these.
Questions about S34.121S
- Is S34.121S a billable ICD-10-CM code?
- Yes. S34.121S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S34.121S 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).