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ICD-10-CM 2027 diagnosis code

S16.1XXAStrain of muscle, fascia and tendon at neck level, initial encounter

✓ Billable / specificRequires 7th character

S16.1XXA is a valid, billable ICD-10-CM code for strain of muscle, fascia and tendon at neck level, initial encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Strain of muscle, fascia and tendon at neck level, 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 S16.1XXA

S16.1XXA is the ICD-10-CM diagnosis code for strain of muscle, fascia and tendon at neck level, initial encounter. It belongs to category S16 (injury of muscle, fascia and tendon 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 847.0 (sprain of neck).

7th character

Ainitial encounter

Other encounter types for S16.1:

Notes that apply from higher levels

Instructions written at a parent level also apply to S16.1XXA.

› From S16 Injury of muscle, fascia and tendon at neck level
Excludes2
  • sprain of joint or ligament at neck level (S13.9)
Code also
  • any associated open wound (S11.-)

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 →
  • 847.0Sprain of neckapproximate

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 S16.1XXA

Is S16.1XXA billable?

Yes. S16.1XXA 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 S16.1XXA 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 S16.1XXA be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S16.1XXA as a principal diagnosis.

Is S16.1XXA a CC or MCC?

No. S16.1XXA is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S16.1XXA group to?

S16.1XXA 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 S16.1XXA?

The CMS General Equivalence Mappings map S16.1XXA to ICD-9-CM 847.0.