ICD Code S13.4

ICD code S13.4 is a diagnosis code for sprain of ligaments of the cervical spine (neck).

1. Patient presents with neck pain following trauma or sudden movement.

2. Physical examination reveals tenderness over the cervical spine.

3. Limited range of motion in the neck due to pain or muscle spasm.

4. No evidence of fracture or dislocation on imaging studies.

5. Absence of neurological deficits such as numbness, tingling, or weakness in the upper extremities.

6. History of a mechanism of injury consistent with hyperflexion, hyperextension, or rotational forces to the cervical region.

7. Muscle spasm or swelling noted in the cervical paraspinal muscles.

Relevant CPT codes that may be used to treat ICD code S13.4 include:

- 99201–99215 (Evaluation and Management services)

- 20552 (Injection(s); single or multiple trigger point(s), one or two muscle(s))

- 20553 (Injection(s); single or multiple trigger point(s), three or more muscles)

- 20610 (Arthrocentesis, aspiration and/or injection; major joint or bursa)

- 97110 (Therapeutic exercises)

- 97112 (Neuromuscular reeducation)

- 97140 (Manual therapy techniques)

- 99281–99285 (Emergency department services)

- 72040 (Radiologic examination, spine, cervical; two or three views)

- 72050 (Radiologic examination, spine, cervical; four or five views)

- 72052 (Radiologic examination, spine, cervical; six or more views)

CPT code selection should be based on the specific services rendered and clinical documentation for ICD code S13.4.

Schedule a demo to see how MD Clarity’s RevFind software can automatically read your payer contracts and detect underpayments for CPT codes related to ICD code S13.4. Ensure your practice is capturing every dollar it’s owed—discover how RevFind can help you identify missed revenue opportunities today.