ICD Code S23.3XXA

ICD code S23.3XXA is a sprain of the ligaments in the thoracic spine, documented during the patient's initial encounter for this injury.

1. Patient presents with acute onset of back pain localized to the thoracic region following trauma or injury.

2. Physical examination reveals tenderness, swelling, or bruising over the thoracic spine.

3. Limited range of motion or pain with movement of the thoracic spine.

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

5. Ligamentous injury confirmed by clinical assessment or imaging.

6. Symptoms are consistent with a sprain and this is the patient’s initial encounter for this injury.

Relevant CPT codes for ICD-10 code S23.3XXA include:

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

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

- 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)

- 97110 (Therapeutic exercises)

- 97112 (Neuromuscular reeducation)

- 97140 (Manual therapy techniques)

- 98940 (Chiropractic manipulative treatment, spinal, 1-2 regions)

- 98941 (Chiropractic manipulative treatment, spinal, 3-4 regions)

- 97010 (Application of a modality to 1 or more areas; hot or cold packs)

- 97035 (Ultrasound therapy)

CPT code selection should be based on the specific services rendered and provider scope of practice.

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