Valid for Submission
S09.11XS is a billable code used to specify a medical diagnosis of strain of muscle and tendon of head, sequela. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S09.11XS might also be used to specify conditions or terms like dislocations, sprains and strains involving head with neck, dislocations, sprains and strains involving multiple body regions, dislocations/sprains/strains, injury of muscle of head, injury of tendon of head, mentalis strain, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
| ICD-10: | S09.11XS |
| Short Description: | Strain of muscle and tendon of head, sequela |
| Long Description: | Strain of muscle and tendon of head, sequela |
Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Dislocations, sprains and strains involving head with neck
- Dislocations, sprains and strains involving multiple body regions
- Dislocations/sprains/strains
- Injury of muscle of head
- Injury of tendon of head
- Mentalis strain
- Rupture of tendon of head and neck
- Strain of fascia of head
- Strain of jaw
- Strain of muscle of face
- Strain of muscle of head
- Strain of tendon of head
- Strain of tendon of head and neck
Diagnostic Related Groups
The ICD-10 code S09.11XS is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2020.
- 562 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC
- 563 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC
Present on Admission (POA)
S09.11XS is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .
CMS POA Indicator Options and Definitions
| POA Indicator Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert S09.11XS to ICD-9
- 905.7 - Late effec sprain/strain (Approximate Flag)
Code Classification
Code History
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
(First year ICD-10-CM implemented into the HIPAA code set) - FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020