2027 ICD-10-CM Diagnosis Code S16.2XXDLaceration of muscle, fascia and tendon at neck level, subsequent encounter

ICD-10-CM Codes›S00–T88›S10-S19›S16

ICD-10-CM S16.2XXD
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S16.2XXD is a billable ICD-10-CM diagnosis code for laceration of muscle, fascia and tendon at neck level, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as injury of fascia of neck. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds of head and neck, subsequent encounter.

Code Identity

ICD-10-CM Code
S16.2XXD
Billable Status
Yes — Valid for Submission
Code Describes
Laceration of muscle, fascia and tendon at neck level, subsequent encounter
Short Description
Laceration of muscle, fascia and tendon at neck level, subs
Parent Code
S16.2
Laceration of muscle, fascia and tendon at neck level

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS10-S19Injuries to the neck
CategoryS16Injury of muscle, fascia and tendon at neck level
This CodeS16.2XXDLaceration of muscle, fascia and tendon at neck level, subsequent encounter

Present on Admission (POA)Billing

S16.2XXD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the neck (S10-S19).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Injury of fascia of neck
  • Injury of tendon of neck
  • Laceration of fascia of neck
  • Laceration of muscle of neck
  • Laceration of tendon of neck

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of muscle, fascia and tendon at neck level (S16). 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 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S16.2XXD: its own notes plus those printed at S16, block S10-S19, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Block S10-S19 Injuries to the neck applies to 1,074 codes
  • injuries of nape
  • injuries of supraclavicular region
  • injuries of throat

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From S16 Injury of muscle, fascia and tendon at neck level applies to 12 codes
  • sprain of joint or ligament at neck level (S13.9)
From Block S10-S19 Injuries to the neck applies to 1,074 codes
  • burns and corrosions (T20-T32)
  • effects of foreign body in esophagus (T18.1)
  • effects of foreign body in larynx (T17.3)
  • effects of foreign body in pharynx (T17.2)
  • effects of foreign body in trachea (T17.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From S16 Injury of muscle, fascia and tendon at neck level applies to 12 codes
  • any associated open wound (S11.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From S16 Injury of muscle, fascia and tendon at neck level applies to 12 codes
  • The appropriate 7th character is to be added to each code from category S16
Values for category S16 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter this code
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ048
Open wounds of head and neck, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

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

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S16.2XXD to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V58.89 Other specfied aftercare
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S16.2XXDOverview

Is S16.2XXD (Laceration of muscle, fascia and tendon at neck level) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report laceration of muscle, fascia and tendon at neck level, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character D in S16.2XXD mean?

The final character D marks a subsequent encounter: use it for routine care while the laceration of muscle, fascia and tendon at neck level is healing, after active treatment has ended.

What MS-DRG does S16.2XXD group to?

When laceration of muscle, fascia and tendon at neck level, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S16.2XXD 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 laceration of muscle, fascia and tendon at neck level, subsequent encounter on inpatient claims. The code appears in the Injuries to the neck (S10-S19) range of the CMS exempt list.

What is the ICD-9 equivalent of S16.2XXD?

Under the General Equivalence Mappings, laceration of muscle, fascia and tendon at neck level, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.