S39.091S
S39.091S — Other injury of muscle, fascia and tendon of abdomen, sequela
Billable / specific codeICD-10-CMPOA exempt
S39.091S is a billable, specific ICD-10-CM code for other injury of muscle, fascia and tendon of abdomen, sequela. It is valid for submission on a claim.
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
Risk adjustment
S39.091S 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
S39.091S is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A57206Billing and Coding: Lumbar MRI
- A57326Billing and Coding: Electrocardiograms
Related codes at this level
Codes that share S39.091. If S39.091S is not quite right, the correct code is usually one of these.
Questions about S39.091S
- Is S39.091S a billable ICD-10-CM code?
- Yes. S39.091S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S39.091S 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).