ICD-10-CM Code S16.9XXS

Unspecified injury of muscle, fascia and tendon at neck level, sequela

Version 2020 Billable Code POA Exempt

Valid for Submission

S16.9XXS is a billable code used to specify a medical diagnosis of unspecified injury of muscle, fascia and tendon at neck level, sequela. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S16.9XXS might also be used to specify conditions or terms like injury of fascia of neck or injury of muscle and tendon at neck level or injury of muscle of neck or injury of tendon of neck or traumatic division of tendon of head and neck. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:S16.9XXS
Short Description:Unsp injury of musc/fasc/tend at neck level, sequela
Long Description:Unspecified injury of muscle, fascia and tendon at neck level, sequela

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 neck
  • Injury of muscle and tendon at neck level
  • Injury of muscle of neck
  • Injury of tendon of neck
  • Traumatic division of tendon of head and neck

Diagnostic Related Groups

The ICD-10 code S16.9XXS 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 10/01/2019 through 09/30/2020.

  • 913 - TRAUMATIC INJURY WITH MCC
  • 914 - TRAUMATIC INJURY WITHOUT MCC

Present on Admission (POA)

S16.9XXS 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 CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert S16.9XXS to ICD-9

  • 908.9 - Late effect injury NOS (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the neck (S10-S19)
      • Injury of muscle, fascia and tendon at neck level (S16)

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

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.


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