Lumbosacral Strain ICD-10-CM Codes
Familiarize yourself with the ICD codes used for lumbosacral strain and its clinical description, synonyms, billability, etc.
Fact Checked by RJ Gumban.
What ICD-10 Codes are Used for Lumbosacral Strain?
The most accurate ICD Codes for lumbosacral strain that practitioners can use for coding, billing, documentation, etc., are:
- S39.012A: Strain of muscle, fascia and tendon of lower back, initial encounter
Note: An initial encounter code can be used when the patient receives active treatment for the strain they’re experiencing on their lower back.
- S39.012D: Strain of muscle, fascia and tendon of lower back, subsequent encounter
Note: A subsequent encounter code can be used when the patient receives routine care for the strain they’re experiencing on their lower back.
- S39.012S: Strain of muscle, fascia and tendon of lower back, sequela
Note: A sequela code can be used when the patient’s lumbosacral strain is a complication or condition resulting from injuries or previous conditions.
Which Lumbosacral Strain ICD Codes Are Billable?
All of the mentioned ICD codes for lumbosacral strain are billable.
Clinical Information
- An injury that causes low back pain, specifically the tearing of tendons and muscles, is considered a lumbosacral strain.
- Straining of muscles or tendons can be caused by multiple things. Some of them are extended periods of sitting or standing, poor posture, moving said areas beyond their range of motion, accidents, falls, or failure to use the correct technique when doing sports or everyday tasks.
- Symptoms of a lumbosacral strain are stiffness, swelling, slight redness, skin warmth, and pain in the back that gets worse with movement.
- To diagnose lumbosacral strain, the practitioner will conduct a physical examination on the patient and have them undergo imaging tests like X-rays and MRIs.
- Treatment of lumbosacral strain is usually to reduce the pain. Some common treatments include medication, therapy, and rest.
Synonyms Include:
- Strain of tendon of lower back
- Low back strain
- Lumbosacral strain
- Injury of the muscle of the lower back
- Injury of the tendon of the lower back
- Dislocations, sprains, and strains involving the thorax with lower back and pelvis
Commonly asked questions
You can use a lumbosacral strain ICD code when the patient is experiencing the symptom, and you have identified whether it’s an initial encounter, subsequent encounter, or sequela.
Yes, lumbosacral strain diagnosis codes are billable, particular ones.
Common treatments include medication, therapy, and rest, all of which help the patient manage and treat their pain.
