2021 ICD-10-CM Code S09.10XA
Unspecified injury of muscle and tendon of head, initial encounter
Valid for Submission
S09.10XA is a billable diagnosis code used to specify a medical diagnosis of unspecified injury of muscle and tendon of head, initial encounter. The code S09.10XA is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S09.10XA might also be used to specify conditions or terms like injury of fascia of head, injury of muscle and tendon of head, injury of muscle of head, injury of tendon of head or traumatic division of tendon of head and neck.
S09.10XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified injury of muscle and tendon of head. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Unspecified diagnosis codes like S09.10XA are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
| ICD-10: | S09.10XA |
| Short Description: | Unspecified injury of muscle and tendon of head, init encntr |
| Long Description: | Unspecified injury of muscle and tendon of head, initial encounter |
Code Classification
Coding Guidelines
The appropriate 7th character is to be added to each code from block Other and unspecified injuries of head (S09). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Injury of fascia of head
- Injury of muscle and tendon of head
- Injury of muscle of head
- Injury of tendon of head
- Traumatic division of tendon of head and neck
Convert S09.10XA to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S09.10XA its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 959.01 - Head injury NOS (Approximate Flag)
Information for Patients
Head Injuries
Also called: Cranial injuries, Skull fractures, Skull injuries
Chances are you've bumped your head before. Often, the injury is minor because your skull is hard and it protects your brain. But other head injuries can be more severe, such as a skull fracture, concussion, or traumatic brain injury.
Head injuries can be open or closed. A closed injury does not break through the skull. With an open, or penetrating, injury, an object pierces the skull and enters the brain. Closed injuries are not always less severe than open injuries.
Some common causes of head injuries are falls, motor vehicle accidents, violence, and sports injuries.
It is important to know the warning signs of a moderate or severe head injury. Get help immediately if the injured person has
- A headache that gets worse or does not go away
- Repeated vomiting or nausea
- Convulsions or seizures
- An inability to wake up
- Dilated (enlarged) pupil in one or both eyes
- Slurred speech
- Weakness or numbness in the arms or legs
- Loss of coordination
- Increased confusion, restlessness, or agitation
Doctors use a neurologic exam and imaging tests to make a diagnosis. Treatment depends on the type of injury and how severe it is.
NIH: National Institute of Neurological Disorders and Stroke
- Head injury - first aid (Medical Encyclopedia)
- Skull fracture (Medical Encyclopedia)
[Learn More in MedlinePlus]
Muscle Disorders
Also called: Myopathy
Your muscles help you move and help your body work. Different types of muscles have different jobs. There are many problems that can affect muscles. Muscle disorders can cause weakness, pain or even paralysis.
Causes of muscle disorders include
- Injury or overuse, such as sprains or strains, cramps or tendinitis
- A genetic disorder, such as muscular dystrophy
- Some cancers
- Inflammation, such as myositis
- Diseases of nerves that affect muscles
- Infections
- Certain medicines
Sometimes the cause is not known.
- Caring for muscle spasticity or spasms (Medical Encyclopedia)
- Compartment syndrome (Medical Encyclopedia)
- Contracture deformity (Medical Encyclopedia)
- Creatine phosphokinase test (Medical Encyclopedia)
- Electromyography (Medical Encyclopedia)
- Eyelid twitch (Medical Encyclopedia)
- Hypotonia (Medical Encyclopedia)
- Muscle aches (Medical Encyclopedia)
- Muscle atrophy (Medical Encyclopedia)
- Muscle function loss (Medical Encyclopedia)
- Muscle twitching (Medical Encyclopedia)
- Rhabdomyolysis (Medical Encyclopedia)
- Weakness (Medical Encyclopedia)
[Learn More in MedlinePlus]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)