2021 ICD-10-CM Diagnosis Code S13.4

Sprain of ligaments of cervical spine

    2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
  • S13.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2021 edition of ICD-10-CM S13.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of S13.4 - other international versions of ICD-10 S13.4 may differ.
Applicable To
  • Sprain of anterior longitudinal (ligament), cervical
  • Sprain of atlanto-axial (joints)
  • Sprain of atlanto-occipital (joints)
  • Whiplash injury of cervical spine
The following code(s) above S13.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to S13.4:
  • S00-T88
    2021 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • S10-S19
    2021 ICD-10-CM Range S10-S19

    Injuries to the neck

    Includes
    • injuries of nape
    • injuries of supraclavicular region
    • injuries of throat
    Type 2 Excludes
    • burns and corrosions (T20-T32)
    • effects of foreign body in esophagus (T18.1)
    • effects of foreign body in larynx (T17.3)
    • effects of foreign body in pharynx (T17.2)
    • effects of foreign body in trachea (T17.4)
    • frostbite (T33-T34)
    • insect bite or sting, venomous (T63.4)
    Injuries to the neck
  • S13
    ICD-10-CM Diagnosis Code S13

    Dislocation and sprain of joints and ligaments at neck level

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Code Also
    • any associated open wound
    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
    Type 2 Excludes
    • strain of muscle or tendon at neck level (S16.1)
    Dislocation and sprain of joints and ligaments at neck level
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to S13.4:
  • Type 1 Excludes: G24.3
    ICD-10-CM Diagnosis Code G24.3

    Spasmodic torticollis

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    • congenital torticollis (Q68.0)
    • hysterical torticollis (F44.4)
    • ocular torticollis (R29.891)
    • psychogenic torticollis (F45.8)
    • torticollis NOS (M43.6)
    • traumatic recurrent torticollis (S13.4)

Diagnosis Index entries containing back-references to S13.4:
  • Injury T14.90
    - see also specified injury type
    ICD-10-CM Diagnosis Code T14.90

    Injury, unspecified

      2016 2017 2018 - Converted to Parent Code 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Injury NOS
    • whiplash S13.4 (cervical spine)
  • Sprain (joint) (ligament)
    • neck S13.9
      ICD-10-CM Diagnosis Code S13.9

      Sprain of joints and ligaments of unspecified parts of neck

        2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
      • anterior longitudinal cervical ligament S13.4
      • atlanto-axial joint S13.4
      • atlanto-occipital joint S13.4
      • cervical spine S13.4
    • spine
      • cervical S13.4
    • anterior longitudinal, cervical S13.4
    • atlas, atlanto-axial, atlanto-occipital S13.4
    • cervical, cervicodorsal, cervicothoracic S13.4
  • Syndrome - see also Disease
    • whiplash S13.4
  • Torticollis (intermittent) (spastic) M43.6
    ICD-10-CM Diagnosis Code M43.6

    Torticollis

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    • congenital (sternomastoid) torticollis (Q68.0)
    • current injury - see Injury, of spine, by body region
    • ocular torticollis (R29.891)
    • psychogenic torticollis (F45.8)
    • spasmodic torticollis (G24.3)
    • torticollis due to birth injury (P15.2)
    • traumatic, current S13.4
  • Whiplash injury S13.4

ICD-10-CM Codes Adjacent To S13.4
S13.181S …… sequela
S13.2 Dislocation of other and unspecified parts of neck
S13.20 Dislocation of unspecified parts of neck
S13.20XA …… initial encounter
S13.20XD …… subsequent encounter
S13.20XS …… sequela
S13.29 Dislocation of other parts of neck
S13.29XA …… initial encounter
S13.29XD …… subsequent encounter
S13.29XS …… sequela
S13.4 Sprain of ligaments of cervical spine
S13.4XXA …… initial encounter
S13.4XXD …… subsequent encounter
S13.4XXS …… sequela
S13.5 Sprain of thyroid region
S13.5XXA …… initial encounter
S13.5XXD …… subsequent encounter
S13.5XXS …… sequela
S13.8 Sprain of joints and ligaments of other parts of neck
S13.8XXA …… initial encounter
S13.8XXD …… subsequent encounter

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.