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S16 ICD-10-CM Code: Injury of muscle, fascia and tendon at neck level

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the neck (S10-S19)

S16

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Injury of muscle, fascia and tendon at neck level

Injury of muscle, fascia and tendon at neck level

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S1Injuries to the neck (S10-S19)
S16Injury of muscle, fascia and tendon at neck level

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S16 in this effective period.

Excludes 2

Official
  • sprain of joint or ligament at neck level (S13.9)

Related Child Codes

Official
S16.1Strain of muscle, fascia and tendon at neck level
S16.2Laceration of muscle, fascia and tendon at neck level
S16.8Other specified injury of muscle, fascia and tendon at neck level
S16.9Unspecified injury of muscle, fascia and tendon at neck level

Includes

Official

ICD-10-CM does not list Includes notes for S16 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S16 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S16 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S16 in this effective period.

Code Also

Official
  • any associated open wound (S11.-)

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S16 is the ICD-10-CM diagnosis code for injury of muscle, fascia and tendon at neck level. S16 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the neck (s10-s19).

Header codes like S16 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S16's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S16 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • sprain of joint or ligament at neck level (S13.9)

Code Also

  • any associated open wound (S11.-)

Child Codes

Code Hierarchy

S16Injury of muscle, fascia and tendon at neck level
S16Injury of muscle, fascia and tendon at neck level

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