S39.013A
S39.013A — Strain of muscle, fascia and tendon of pelvis, initial encounter
Billable / specific codeICD-10-CM
S39.013A is a billable, specific ICD-10-CM code for strain of muscle, fascia and tendon of pelvis, 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 S39
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S39.013A 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
S39.013A is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56273Billing and Coding: Chiropractic Services
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Related codes at this level
Codes that share S39.013. If S39.013A is not quite right, the correct code is usually one of these.
Questions about S39.013A
- Is S39.013A a billable ICD-10-CM code?
- Yes. S39.013A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S39.013A 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).