Valid for Submission
S39.92XA is a billable diagnosis code used to specify a medical diagnosis of unspecified injury of lower back, initial encounter. The code S39.92XA is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S39.92XA might also be used to specify conditions or terms like injury of buttock, injury of coccyx, lower back injury, multiple injuries of lower back or traumatic and/or non-traumatic injury of back.
S39.92XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified injury of lower back. 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.
Unspecified diagnosis codes like S39.92XA are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
The appropriate 7th character is to be added to each code from block Oth & unsp injuries of abd, low back, pelv & extrn genitals (S39). 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:
- Injury of buttock
- Injury of coccyx
- Lower back injury
- Multiple injuries of lower back
- Traumatic and/or non-traumatic injury of back
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|913||TRAUMATIC INJURY WITH MCC||21||1.6364|
|914||TRAUMATIC INJURY WITHOUT MCC||21||0.8886|
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 S39.92XA to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S39.92XA 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
Your back is made of bones, muscles, and other tissues extending from your neck to your pelvis. Back injuries can result from sports injuries, work around the house or in the garden, or a sudden jolt such as a car accident. The lower back is the most common site of back injuries and back pain. Common back injuries include
- Sprains and strains
- Herniated disks
- Fractured (broken) vertebrae
These injuries can cause pain and limit your movement. Treatments vary but might include medicines, icing, bed rest, physical therapy, or surgery. You might be able to prevent some back injuries by maintaining a healthy weight, lifting objects with your legs, and using lower-back support when you sit.
[Learn More in MedlinePlus]