S39.012S

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

Billable / specific codeICD-10-CMPOA exempt

S39.012S is a billable, specific ICD-10-CM code for strain of muscle, fascia and tendon of lower back, sequela. It is valid for submission on a claim.

Check S39.012S with the rest of the claim: free scrubber

7th character "S": sequela

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 S39.012S

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.-)

Risk adjustment

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

Medicare coverage

S39.012S is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53064Billing and Coding: Outpatient Occupational Therapy
A53065Billing and Coding: Outpatient Physical Therapy

Code history

Unchanged in every release from FY2024 to FY2027.