Valid for Submission
S13.4XXA is a billable diagnosis code used to specify a medical diagnosis of sprain of ligaments of cervical spine, initial encounter. The code S13.4XXA 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 S13.4XXA might also be used to specify conditions or terms like acute cervical sprain, atlantoaxial joint sprain, c/o: stiffness, cervical anterior longitudinal ligament sprain, cervical spine sprain , injury to ligament of cervical spine, etc.
S13.4XXA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like sprain of ligaments of cervical spine. 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.
The appropriate 7th character is to be added to each code from block Dislocation and sprain of joints and ligaments at neck level (S13). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Acute cervical sprain
- Atlantoaxial joint sprain
- C/O: stiffness
- Cervical anterior longitudinal ligament sprain
- Cervical spine sprain
- Injury to ligament of cervical spine
- Neck pain co-occurrent with neck stiffness following whiplash injury to neck
- Neck pain co-occurrent with neurological deficit following whiplash injury to neck
- Neck pain co-occurrent with tenderness of neck following whiplash injury to neck
- Neck sprain
- Neck sprain
- Neurological deficit
- Pain and tenderness
- Sprain of spinal ligament
- Stiff neck
- Stiff neck
- Tenderness of neck
- Traumatic torticollis
- Whiplash injury to neck
- Whiplash shaken infant syndrome
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|551||MEDICAL BACK PROBLEMS WITH MCC||08||1.6231|
|552||MEDICAL BACK PROBLEMS WITHOUT MCC||08||0.942|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert S13.4XXA to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S13.4XXA 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.
Information for Patients
Neck Injuries and Disorders
Any part of your neck - muscles, bones, joints, tendons, ligaments, or nerves - can cause neck problems. Neck pain is very common. Pain may also come from your shoulder, jaw, head, or upper arms.
Muscle strain or tension often causes neck pain. The problem is usually overuse, such as from sitting at a computer for too long. Sometimes you can strain your neck muscles from sleeping in an awkward position or overdoing it during exercise. Falls or accidents, including car accidents, are another common cause of neck pain. Whiplash, a soft tissue injury to the neck, is also called neck sprain or strain.
Treatment depends on the cause, but may include applying ice, taking pain relievers, getting physical therapy or wearing a cervical collar. You rarely need surgery.
- Cervical MRI scan (Medical Encyclopedia)
- Cervical spine CT scan (Medical Encyclopedia)
- Cervical spondylosis (Medical Encyclopedia)
- Neck lump (Medical Encyclopedia)
- Neck pain (Medical Encyclopedia)
- Neck pain or spasms -- self care (Medical Encyclopedia)
- Neck x-ray (Medical Encyclopedia)
- Spinal fusion (Medical Encyclopedia)
- Torticollis (Medical Encyclopedia)
[Learn More in MedlinePlus]
Sprains and Strains
A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.
A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.
At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
- Ankle sprain - aftercare (Medical Encyclopedia)
- Elbow sprain -- aftercare (Medical Encyclopedia)
- Foot sprain - aftercare (Medical Encyclopedia)
- Hamstring strain - aftercare (Medical Encyclopedia)
- Hip flexor strain -- aftercare (Medical Encyclopedia)
- Sprains (Medical Encyclopedia)
- Strains (Medical Encyclopedia)
- Tendon repair (Medical Encyclopedia)
- Wrist sprain - aftercare (Medical Encyclopedia)
[Learn More in MedlinePlus]