2026 ICD-10-CM Diagnosis Code S13.9XXDSprain of joints and ligaments of unspecified parts of neck, subsequent encounter
S13.9XXD is a billable ICD-10-CM diagnosis code for sprain of joints and ligaments of unspecified parts of neck, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as dislocations, sprains and strains involving head with neck. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Sprains and strains, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S13.9XXD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Dislocations, sprains and strains involving head with neck
- Dislocations, sprains and strains involving multiple body regions
- Dislocations/sprains/strains
- Neck sprain
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Neck Sprain
stretching or tearing of ligaments in the neck.
Patient EducationClinical
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.
Read the full article at MedlinePlus
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Convert S13.9XXD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S13.9XXDOverview
Is S13.9XXD (Sprain of joints and ligaments of unspecified parts of neck) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report sprain of joints and ligaments of unspecified parts of neck, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S13.9XXD mean?
The final character D marks a subsequent encounter: use it for routine care while the sprain of joints and ligaments of unspecified parts of neck is healing, after active treatment has ended.
What MS-DRG does S13.9XXD group to?
When sprain of joints and ligaments of unspecified parts of neck, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S13.9XXD exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for sprain of joints and ligaments of unspecified parts of neck, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S13.9XXD?
Under the General Equivalence Mappings, sprain of joints and ligaments of unspecified parts of neck, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
