S34.6XXA — Injury of peripheral nerve(s) at abdomen, lower back and pelvis level, initial encounter
S34.6XXA is a billable, specific ICD-10-CM code for injury of peripheral nerve(s) at abdomen, lower back and pelvis 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 S34
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S34.6XXA 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
S34.6XXA is named in 11 Medicare coverage policies — 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
- A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
- A56607Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Related codes at this level
Codes that share S34.6. If S34.6XXA is not quite right, the correct code is usually one of these.
Questions about S34.6XXA
- Is S34.6XXA a billable ICD-10-CM code?
- Yes. S34.6XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S34.6XXA 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).