S13.4 Sprain of ligaments of cervical spine

Non-billable ICD-10-CM code.

Applicable to

• Sprain of anterior longitudinal (ligament), cervical
• Sprain of atlanto-axial (joints)
• Sprain of atlanto-occipital (joints)
• Whiplash injury of cervical spine

Applies 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 (not included here)

• strain of muscle or tendon at neck level (S16.1)

Code also

• any associated open wound

7th character note

• The appropriate 7th character is to be added to each code from category S13

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Code annotations containing back-references to S13.4

Back-references to S13.4

• Type 1 Excludes: G24.3 Spasmodic torticollis ("traumatic recurrent torticollis (S13.4)")

Back-references to S13

• Type 2 Excludes: S27 Injury of other and unspecified intrathoracic organs ("injury of cervical esophagus (S10-S19)")
• Type 2 Excludes: S27 Injury of other and unspecified intrathoracic organs ("injury of trachea (cervical) (S10-S19)")

Diagnosis Index entries for S13.4

• Injury › whiplash (cervical spine)
• Sprain (joint) (ligament) › anterior longitudinal, cervical
• Sprain (joint) (ligament) › atlas, atlanto-axial, atlanto-occipital
• Sprain (joint) (ligament) › cervical, cervicodorsal, cervicothoracic
• Sprain (joint) (ligament) › neck › anterior longitudinal cervical ligament
• Sprain (joint) (ligament) › neck › atlanto-axial joint
• Sprain (joint) (ligament) › neck › atlanto-occipital joint
• Sprain (joint) (ligament) › neck › cervical spine
• Sprain (joint) (ligament) › spine › cervical
• Syndrome › whiplash
• Torticollis (intermittent) (spastic) › traumatic, current
• Whiplash injury

Nearby codes

• S13.20XS Dislocation of unspecified parts of neck, sequela
• S13.29 Dislocation of other parts of neck
• S13.29XA Dislocation of other parts of neck, initial encounter
• S13.29XD Dislocation of other parts of neck, subsequent encounter
• S13.29XS Dislocation of other parts of neck, sequela
• S13.4 Sprain of ligaments of cervical spine (this code)
• S13.4XXA Sprain of ligaments of cervical spine, initial encounter
• S13.4XXD Sprain of ligaments of cervical spine, subsequent encounter
• S13.4XXS Sprain of ligaments of cervical spine, sequela
• S13.5 Sprain of thyroid region
• S13.5XXA Sprain of thyroid region, initial encounter