S39.01 — Strain of muscle, fascia and tendon of abdomen, lower back and pelvis
S39.01 is a non-billable header ICD-10-CM code for strain 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
Other codes that can never be billed with S39.01
These codes carry an Excludes1 note pointing at S39.01. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S39.01 alone.
- M54.5Low back pain
Risk adjustment
S39.01 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.
Code to one of these instead S39.01
3 child codes. Green means billable.
Related codes at this level
Codes that share S39.0. If S39.01 is not quite right, the correct code is usually one of these.
Questions about S39.01
- Is S39.01 a billable ICD-10-CM code?
- No. S39.01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S39.01 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).