Question: Our physician treated a patient complaining of neck pain. Encounter notes indicate that the final diagnosis is "neck sprain." What is the correct ICD-10 code for this encounter? Codify Subscriber Answer: You may need a little bit more information to select the most accurate code. First, you'll need to find out which ligaments/joints were sprained in the neck. Your options include: Note: Each of these codes requires a seventh character to note encounter status: A (Initial encounter), D (Subsequent encounter), or S (Sequela). So, if the notes indicate that a patient presents with neck pain for the first time, and the provider diagnoses a sprain of the cervical spine ligaments, you'd report S13.4xxA for the encounter. You should also add a code from Chapter 20 as to how the neck sprain happened if known (i.e., W06.XXXA, Fall from bed, initial encounter).