S39.0

S39.0: Injury of muscle, fascia and tendon of abdomen, lower back and pelvis

Non-billable headerICD-10-CM

S39.0 is a non-billable header ICD-10-CM code for injury of muscle, fascia and tendon of abdomen, lower back and pelvis. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S39

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 inherited from the categories above S39.0

Not part of this code, but both may be coded when both are present.

Written on S39: Other and unspecified injuries of abdomen, lower back, pelvis and external genitals

sprain of joints and ligaments of lumbar spine and pelvis (S33.-)

Other codes that can never be billed with S39.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

M54.5Low back pain

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S39.0

4 child codes. Green means billable.