S13.9XXA — Sprain of joints and ligaments of unspecified parts of neck, initial encounter
Is S13.9XXA billable?
Yes, but S13.9XXA is an unspecified code. S13.9XXA is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S13.9XXA is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S13.9XXA — the more specific alternatives are listed below.
More specific alternatives
- S13.0XXATraumatic rupture of cervical intervertebral disc, initial encounter
- S13.100ASubluxation of unspecified cervical vertebrae, initial encounter
- S13.4XXASprain of ligaments of cervical spine, initial encounter
- S13.5XXASprain of thyroid region, initial encounter
- S13.8XXASprain of joints and ligaments of other parts of neck, initial encounter
S13.9XXA at a glance
| Code | S13.9XXA |
|---|---|
| Description | Sprain of joints and ligaments of unspecified parts of neck, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in S13.9XXA?
In S13.9XXA, the 7th character A means initial encounter. The 7th character is required for S13.9XXA to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S13.9XXA group to?
S13.9XXA sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 551Medical Back Problems with MCCmedical
- 552Medical Back Problems without MCCmedical
How is S13.9XXA listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S13.9, the nearest indexed parent of S13.9XXA. Use them to find the family, then select the specific code.
- Sprain › neck (joint) (ligament)
Use additional code — inherited from Chapter 19
Report an additional code alongside S13.9XXA to fully describe the condition. S13.9XXA is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S13.9XXA, but a patient may have both at the same time. When documentation supports it, S13.9XXA and the excluded code may both be reported.
Excludes2 — not included here — inherited from S10-S19
The conditions below are not part of S13.9XXA, but a patient may have both at the same time. When documentation supports it, S13.9XXA and the excluded code may both be reported.
Excludes2 — not included here — inherited from S13
The conditions below are not part of S13.9XXA, but a patient may have both at the same time. When documentation supports it, S13.9XXA and the excluded code may both be reported.
- strain of muscle or tendon at neck level (S16.1)
Code also — inherited from S13
Two codes may be needed to describe the condition fully. Whether S13.9XXA is sequenced first depends on the reason for the encounter.
- any associated open wound
How long has S13.9XXA existed?
S13.9XXA has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.