S13.4XXA - Sprain of ligaments of cervical spine, initial encounter

S13.4XXA - Sprain of ligaments of cervical spine, initial encounter

Learn all about the ICD-10-CM code S13.4XXA, including what its clinical description is, if it's billable or not, what its synonyms are, and what other ICD codes are related to it.

By Karina Jimenea on Aug 8, 2025.

Fact Checked by Ericka Pingol.

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S13.4XXA diagnosis code: Sprain of ligaments of cervical spine, initial encounter

The S13.4XXA is an ICD code included in the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM, for short), and it is used to designate “Sprain of ligaments of cervical spine, initial encounter.”

This condition falls under the S13 category, which encompasses injuries to the joints and ligaments at the neck level. Specifically, this category 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

S13.4XXA ICD code pertains to ligament sprains or dislocations in a person's neck. Sprains such as this are caused by forcibly twisting the neck, getting hit, or falling. If the ligaments of the cervical spine are sprained, then they are torn or overstretched.

The initial encounter in this diagnosis code means that it's the first time the patient and their condition were assessed by a certain provider. Even if they've been diagnosed with this before but with another provider, “initial encounter” should be used if the current one is dealing with them for the first time. Also, the diagnosis code should be given while the patient is actively treated for ligament sprains in the cervical spine.

In addition to the initial encounter code (denoted by A), there are also specific codes based on the type of encounter, such as subsequent encounter (denoted by D) and sequela (denoted by S).

Is S13.4XXA billable?

Yes, this ICD-10-CM code is billable and can indicate a diagnosis for reimbursement.

S13.4XXA clinical information

To reiterate, a ligament sprain of the cervical spine means that the cervical spine ligaments are overstretched or torn. If a patient has such a sprain, they are likely to have the following symptoms:

  • Swelling in their cervical spine area, especially in the neck area
  • A sharp pain in the neck
  • Stiffness of the neck and difficulty moving it

Ligament sprain of the cervical spine is usually caused by whiplash (which can happen through accidents or by exercising), sleeping in awkward positions, lifting heavy objects, falling and landing on your neck, performing repetitive motions on the neck (like headbanging in a concert), and simply having poor posture.

These sprains are generally treated by resting and using an ice compress (or some other compress, like bandaging). Sometimes, medicine is taken to relieve the pain. Depending on the recovery rate and how severe the sprains are, exercise and physical therapy might be implemented to rehabilitate them.

S13.4XXA synonyms include

  • Acute cervical spine
  • Sprain of spinal ligament
  • Injury to ligament of cervical spine
  • Cervical spine sprain
  • Sprain or strain of cervical spine
  • Traumatic torticollis
  • Whiplash injury of neck
  • Whiplash injury to neck

Other ICD-10 codes commonly used for cervical spine issues

  • S13.0XXA - Traumatic rupture of cervical intervertebral disc, initial encounter
  • S13.100A - Subluxation of unspecified cervical vertebrae, initial encounter
  • S13.101A - Dislocation of unspecified cervical vertebrae, initial encounter
  • S13.110A - Subluxation of C0/C1 cervical vertebrae, initial encounter
  • S13.111A - Dislocation of C0/C1 cervical vertebrae, initial encounter
  • S13.120A - Subluxation of C1/C2 cervical vertebrae, initial encounter
  • S13.121A - Dislocation of C1/C2 cervical vertebrae, initial encounter
  • S13.130A - Subluxation of C2/C3 cervical vertebrae, initial encounter
  • S13.131A - Dislocation of C2/C3 cervical vertebrae, initial encounter
  • S13.140A - Subluxation of C3/C4 cervical vertebrae, initial encounter
  • S13.141A - Dislocation of C3/C4 cervical vertebrae, initial encounter

Commonly asked questions

Yes, this ICD-10 code is billable.

When assessing a patient with cervical sprain for the first time. They also have to be undergoing active treatment for it.

Rest, compression (through bandages, cold/ice compress, etc), medicine, exercise, and physical therapy.

Related ICDs

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