ICD Code S19.9XXA

ICD code S19.9XXA is an unspecified injury of the neck, documented during the patient's initial encounter for this condition.

1. Patient presents with a neck injury where the specific nature of the injury (e.g., fracture, sprain, contusion) cannot be determined after initial assessment.

2. Clinical documentation indicates trauma or injury to the neck region, but lacks sufficient detail to assign a more specific diagnosis code.

3. The encounter is the patient’s first visit for evaluation and treatment of this neck injury.

4. Symptoms may include neck pain, swelling, bruising, limited range of motion, or tenderness, without clear evidence of a specific injury type.

5. Imaging or diagnostic tests are inconclusive or pending, and a more definitive diagnosis cannot yet be established.

6. The injury is not better classified under any other specific neck injury codes.

Relevant CPT codes that may be used to treat ICD code S19.9XXA include:

- 99202–99205 (New patient office or other outpatient visit)

- 99212–99215 (Established patient office or other outpatient visit)

- 99281–99285 (Emergency department visit)

- 72040 (Radiologic examination, spine, cervical; 2 or 3 views)

- 72050 (Radiologic examination, spine, cervical; 4 or 5 views)

- 72125 (CT scan, cervical spine)

- 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s))

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

- 97110 (Therapeutic exercises)

- 97112 (Neuromuscular reeducation)

- 97140 (Manual therapy techniques)

- 99291–99292 (Critical care services, if applicable)

CPT code selection should be based on the specific services rendered and clinical documentation for ICD code S19.9XXA.

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