Injury of muscle, fascia and tendon at neck level

Instructional notes

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)

Read Section I.C.19 (page 77)

All codes under S16

S16 can't be used on a claim. Pick a billable code below; grey headings group them.

• S16.1Strain of muscle, fascia and tendon at neck level
• S16.1XXAStrain of muscle, fascia and tendon at neck level, initial encounter
• S16.1XXDStrain of muscle, fascia and tendon at neck level, subsequent encounter
• S16.1XXSStrain of muscle, fascia and tendon at neck level, sequela
• S16.2Laceration of muscle, fascia and tendon at neck level
• S16.2XXALaceration of muscle, fascia and tendon at neck level, initial encounter
• S16.2XXDLaceration of muscle, fascia and tendon at neck level, subsequent encounter
• S16.2XXSLaceration of muscle, fascia and tendon at neck level, sequela
• S16.8Other specified injury of muscle, fascia and tendon at neck level
• S16.8XXAOther specified injury of muscle, fascia and tendon at neck level, initial encounter
• S16.8XXDOther specified injury of muscle, fascia and tendon at neck level, subsequent encounter
• S16.8XXSOther specified injury of muscle, fascia and tendon at neck level, sequela
• S16.9Unspecified injury of muscle, fascia and tendon at neck level
• S16.9XXAUnspecified injury of muscle, fascia and tendon at neck level, initial encounter
• S16.9XXDUnspecified injury of muscle, fascia and tendon at neck level, subsequent encounter
• S16.9XXSUnspecified injury of muscle, fascia and tendon at neck level, sequela

S16 MS-DRGs

As the principal diagnosis, the billable codes under S16 group to these 13 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

• DRG 963 Other Multiple Significant Trauma with MCC (5 of 12 codes)
• DRG 964 Other Multiple Significant Trauma with CC (5 of 12 codes)
• DRG 965 Other Multiple Significant Trauma without CC/MCC (5 of 12 codes)
• DRG 949 Aftercare with CC/MCC (4 of 12 codes)
• DRG 950 Aftercare without CC/MCC (4 of 12 codes)
• DRG 913 Traumatic Injury with MCC (3 of 12 codes)
• DRG 914 Traumatic Injury without MCC (3 of 12 codes)
• DRG 604 Trauma to the Skin, Subcutaneous Tissue and Breast with MCC (2 of 12 codes)
• DRG 605 Trauma to the Skin, Subcutaneous Tissue and Breast without MCC (2 of 12 codes)
• DRG 551 Medical Back Problems with MCC (1 of 12 codes)
• DRG 552 Medical Back Problems without MCC (1 of 12 codes)
• DRG 562 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC (1 of 12 codes)
• DRG 563 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC (1 of 12 codes)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.