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ICD-10-CM 2027 diagnosis code

S13.9XXASprain of joints and ligaments of unspecified parts of neck, initial encounter

✓ Billable / specificRequires 7th character

S13.9XXA is a valid, billable ICD-10-CM code for sprain of joints and ligaments of unspecified parts of neck, initial encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Sprain of joints and ligaments of unsp parts of neck, init

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S13.9XXA

S13.9XXA is the ICD-10-CM diagnosis code for sprain of joints and ligaments of unspecified parts of neck, initial encounter. It belongs to category S13 (dislocation and sprain of joints and ligaments at neck level), block S10-S19 (injuries to the neck) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "A" means initial encounter: use it while the patient is receiving active treatment for the condition.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 551 (Medical Back Problems with MCC, relative weight 1.6358), DRG 552 (Medical Back Problems without MCC, relative weight 0.9584), DRG 963 (Other Multiple Significant Trauma with MCC, relative weight 2.6363), DRG 964 (Other Multiple Significant Trauma with CC, relative weight 1.4972) and DRG 965 (Other Multiple Significant Trauma without CC/MCC, relative weight 1.0059), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue) and MDC 24 (Multiple Significant Trauma), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 847.9 (sprain of unspecified site of back).

7th character

Ainitial encounter

Other encounter types for S13.9:

Notes that apply from higher levels

Instructions written at a parent level also apply to S13.9XXA.

› From S13 Dislocation and sprain of joints and ligaments at neck level
Includes
  • 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
  • strain of muscle or tendon at neck level (S16.1)
Code also
  • any associated open wound

Broader instructions also apply from S10-S19 Injuries to the neck and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 847.9Sprain of unspecified site of backapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S13.9XXA

Is S13.9XXA billable?

Yes. S13.9XXA is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "A" at the end of S13.9XXA mean?

It is the 7th character for initial encounter. Per the official guidelines, use it while the patient is receiving active treatment for the condition.

Can S13.9XXA be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S13.9XXA as a principal diagnosis.

Is S13.9XXA a CC or MCC?

No. S13.9XXA is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S13.9XXA group to?

S13.9XXA is used in the MS-DRG v44.0 logic for MS-DRG 551 (Medical Back Problems with MCC), MS-DRG 552 (Medical Back Problems without MCC), MS-DRG 963 (Other Multiple Significant Trauma with MCC), MS-DRG 964 (Other Multiple Significant Trauma with CC) and MS-DRG 965 (Other Multiple Significant Trauma without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for S13.9XXA?

The CMS General Equivalence Mappings map S13.9XXA to ICD-9-CM 847.9.