S39.012

S39.012: Strain of muscle, fascia and tendon of lower back

Non-billable headerICD-10-CM

S39.012 is a non-billable header ICD-10-CM code for strain of muscle, fascia and tendon of lower back. 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 S39.012

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 S39.012

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.

Alphabetic index entries that lead here

Strain›back
Strain›low back
Injury›muscle›lower back›strain

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S39.012

3 child codes. Green means billable.