Dislocation and sprain of joints and ligaments at neck level
In Injuries to the neck (S10-S19), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes
75 billable codes under S13: 21 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Includes: conditions that are coded here
- avulsion of joint or ligament at neck level
- laceration of cartilage, joint or ligament at neck level
- sprain of cartilage, joint or ligament at neck level
- traumatic hemarthrosis of joint or ligament at neck level
- traumatic rupture of joint or ligament at neck level
- traumatic subluxation of joint or ligament at neck level
- traumatic tear of joint or ligament at neck level
Excludes2: not included here, code separately if applicable
- strain of muscle or tendon at neck level (S16.1)
Code also: add a code for this too, order depends on the encounter
- any associated open wound
Also applies, from Injuries to the neck (S10-S19)
These notes sit on S10-S19 and apply to every code under it, including S13.
Includes: conditions that are coded here
- injuries of nape
- injuries of supraclavicular region
- injuries of throat
Excludes2: not included here, code separately if applicable
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Traumatic Fractures (page 79)
- Coding of Burns and Corrosions (page 80)
- Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
- Adult and child abuse, neglect and other maltreatment (page 85)
- Complications of care (page 85)
All codes under S13
S13 can't be used on a claim. Pick a billable code below; grey headings group them.
- S13.0Traumatic rupture of cervical intervertebral disc
- S13.0XXATraumatic rupture of cervical intervertebral disc, initial encounter
- S13.0XXDTraumatic rupture of cervical intervertebral disc, subsequent encounter
- S13.0XXSTraumatic rupture of cervical intervertebral disc, sequela
- S13.1Subluxation and dislocation of cervical vertebrae
- S13.10Subluxation and dislocation of unspecified cervical vertebrae
- S13.100Subluxation of unspecified cervical vertebrae
- S13.100ASubluxation of unspecified cervical vertebrae, initial encounter
- S13.100DSubluxation of unspecified cervical vertebrae, subsequent encounter
- S13.100SSubluxation of unspecified cervical vertebrae, sequela
- S13.101Dislocation of unspecified cervical vertebrae
- S13.101ADislocation of unspecified cervical vertebrae, initial encounter
- S13.101DDislocation of unspecified cervical vertebrae, subsequent encounter
- S13.101SDislocation of unspecified cervical vertebrae, sequela
- S13.11Subluxation and dislocation of C0/C1 cervical vertebrae
- S13.110Subluxation of C0/C1 cervical vertebrae
- S13.110ASubluxation of C0/C1 cervical vertebrae, initial encounter
- S13.110DSubluxation of C0/C1 cervical vertebrae, subsequent encounter
- S13.110SSubluxation of C0/C1 cervical vertebrae, sequela
- S13.111Dislocation of C0/C1 cervical vertebrae
- S13.111ADislocation of C0/C1 cervical vertebrae, initial encounter
- S13.111DDislocation of C0/C1 cervical vertebrae, subsequent encounter
- S13.111SDislocation of C0/C1 cervical vertebrae, sequela
- S13.12Subluxation and dislocation of C1/C2 cervical vertebrae
- S13.120Subluxation of C1/C2 cervical vertebrae
- S13.120ASubluxation of C1/C2 cervical vertebrae, initial encounter
- S13.120DSubluxation of C1/C2 cervical vertebrae, subsequent encounter
- S13.120SSubluxation of C1/C2 cervical vertebrae, sequela
- S13.121Dislocation of C1/C2 cervical vertebrae
- S13.121ADislocation of C1/C2 cervical vertebrae, initial encounter
- S13.121DDislocation of C1/C2 cervical vertebrae, subsequent encounter
- S13.121SDislocation of C1/C2 cervical vertebrae, sequela
- S13.13Subluxation and dislocation of C2/C3 cervical vertebrae
- S13.130Subluxation of C2/C3 cervical vertebrae
- S13.130ASubluxation of C2/C3 cervical vertebrae, initial encounter
- S13.130DSubluxation of C2/C3 cervical vertebrae, subsequent encounter
- S13.130SSubluxation of C2/C3 cervical vertebrae, sequela
- S13.131Dislocation of C2/C3 cervical vertebrae
- S13.131ADislocation of C2/C3 cervical vertebrae, initial encounter
- S13.131DDislocation of C2/C3 cervical vertebrae, subsequent encounter
- S13.131SDislocation of C2/C3 cervical vertebrae, sequela
- S13.14Subluxation and dislocation of C3/C4 cervical vertebrae
- S13.140Subluxation of C3/C4 cervical vertebrae
- S13.140ASubluxation of C3/C4 cervical vertebrae, initial encounter
- S13.140DSubluxation of C3/C4 cervical vertebrae, subsequent encounter
- S13.140SSubluxation of C3/C4 cervical vertebrae, sequela
- S13.141Dislocation of C3/C4 cervical vertebrae
- S13.141ADislocation of C3/C4 cervical vertebrae, initial encounter
- S13.141DDislocation of C3/C4 cervical vertebrae, subsequent encounter
- S13.141SDislocation of C3/C4 cervical vertebrae, sequela
- S13.15Subluxation and dislocation of C4/C5 cervical vertebrae
- S13.150Subluxation of C4/C5 cervical vertebrae
- S13.150ASubluxation of C4/C5 cervical vertebrae, initial encounter
- S13.150DSubluxation of C4/C5 cervical vertebrae, subsequent encounter
- S13.150SSubluxation of C4/C5 cervical vertebrae, sequela
- S13.151Dislocation of C4/C5 cervical vertebrae
- S13.151ADislocation of C4/C5 cervical vertebrae, initial encounter
- S13.151DDislocation of C4/C5 cervical vertebrae, subsequent encounter
- S13.151SDislocation of C4/C5 cervical vertebrae, sequela
- S13.16Subluxation and dislocation of C5/C6 cervical vertebrae
- S13.160Subluxation of C5/C6 cervical vertebrae
- S13.160ASubluxation of C5/C6 cervical vertebrae, initial encounter
- S13.160DSubluxation of C5/C6 cervical vertebrae, subsequent encounter
- S13.160SSubluxation of C5/C6 cervical vertebrae, sequela
- S13.161Dislocation of C5/C6 cervical vertebrae
- S13.161ADislocation of C5/C6 cervical vertebrae, initial encounter
- S13.161DDislocation of C5/C6 cervical vertebrae, subsequent encounter
- S13.161SDislocation of C5/C6 cervical vertebrae, sequela
- S13.17Subluxation and dislocation of C6/C7 cervical vertebrae
- S13.170Subluxation of C6/C7 cervical vertebrae
- S13.170ASubluxation of C6/C7 cervical vertebrae, initial encounter
- S13.170DSubluxation of C6/C7 cervical vertebrae, subsequent encounter
- S13.170SSubluxation of C6/C7 cervical vertebrae, sequela
- S13.171Dislocation of C6/C7 cervical vertebrae
- S13.171ADislocation of C6/C7 cervical vertebrae, initial encounter
- S13.171DDislocation of C6/C7 cervical vertebrae, subsequent encounter
- S13.171SDislocation of C6/C7 cervical vertebrae, sequela
- S13.18Subluxation and dislocation of C7/T1 cervical vertebrae
- S13.180Subluxation of C7/T1 cervical vertebrae
- S13.180ASubluxation of C7/T1 cervical vertebrae, initial encounter
- S13.180DSubluxation of C7/T1 cervical vertebrae, subsequent encounter
- S13.180SSubluxation of C7/T1 cervical vertebrae, sequela
- S13.181Dislocation of C7/T1 cervical vertebrae
- S13.181ADislocation of C7/T1 cervical vertebrae, initial encounter
- S13.181DDislocation of C7/T1 cervical vertebrae, subsequent encounter
- S13.181SDislocation of C7/T1 cervical vertebrae, sequela
- S13.2Dislocation of other and unspecified parts of neck
- S13.20Dislocation of unspecified parts of neck
- S13.20XADislocation of unspecified parts of neck, initial encounter
- S13.20XDDislocation of unspecified parts of neck, subsequent encounter
- S13.20XSDislocation of unspecified parts of neck, sequela
- S13.29Dislocation of other parts of neck
- S13.29XADislocation of other parts of neck, initial encounter
- S13.29XDDislocation of other parts of neck, subsequent encounter
- S13.29XSDislocation of other parts of neck, sequela
- S13.4Sprain of ligaments of cervical spine
- S13.4XXASprain of ligaments of cervical spine, initial encounter
- S13.4XXDSprain of ligaments of cervical spine, subsequent encounter
- S13.4XXSSprain of ligaments of cervical spine, sequela
- S13.5Sprain of thyroid region
- S13.5XXASprain of thyroid region, initial encounter
- S13.5XXDSprain of thyroid region, subsequent encounter
- S13.5XXSSprain of thyroid region, sequela
- S13.8Sprain of joints and ligaments of other parts of neck
- S13.8XXASprain of joints and ligaments of other parts of neck, initial encounter
- S13.8XXDSprain of joints and ligaments of other parts of neck, subsequent encounter
- S13.8XXSSprain of joints and ligaments of other parts of neck, sequela
- S13.9Sprain of joints and ligaments of unspecified parts of neck
- S13.9XXASprain of joints and ligaments of unspecified parts of neck, initial encounter
- S13.9XXDSprain of joints and ligaments of unspecified parts of neck, subsequent encounter
- S13.9XXSSprain of joints and ligaments of unspecified parts of neck, sequela
S13 MS-DRGs
As the principal diagnosis, the billable codes under S13 group to these 12 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 562 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC (25 of 75 codes)
- DRG 563 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC (25 of 75 codes)
- DRG 949 Aftercare with CC/MCC (25 of 75 codes)
- DRG 950 Aftercare without CC/MCC (25 of 75 codes)
- DRG 963 Other Multiple Significant Trauma with MCC (25 of 75 codes)
- DRG 964 Other Multiple Significant Trauma with CC (25 of 75 codes)
- DRG 965 Other Multiple Significant Trauma without CC/MCC (25 of 75 codes)
- DRG 551 Medical Back Problems with MCC (24 of 75 codes)
- DRG 552 Medical Back Problems without MCC (24 of 75 codes)
- DRG 564 Other Musculoskeletal System and Connective Tissue Diagnoses with MCC (1 of 75 codes)
- DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (1 of 75 codes)
- DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (1 of 75 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Dislocations
Dislocations are joint injuries that force the ends of your bones out of position. The cause is often a fall or a blow, sometimes from playing a contact sport. You can dislocate your ankles, knees, shoulders, hips, elbows and jaw. You can also dislocate your finger and toe joints. Dislocated joints often are swollen, very painful and visibly out of place. You may not be able to move it.
Read more about dislocations on MedlinePlusNeck 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 more about neck injuries and disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
