Tip: Spinal region also makes a difference. When you still coded with ICD-9, a single code represented neck sprain and strain: 847.0 (Neck sprain) under category 847 (Sprains and strains of other and unspecified parts of back). Now, with ICD-10, you report neck sprain using S13.- (Dislocation and sprain of joints and ligaments at neck level). This code includes: ICD-10 includes a fourth character to identify sprain of specific parts of the cervical regions such as: Take note: Don't miss the Excludes2 note for the S13 category regarding strain of muscle or tendon at neck level (S16.1). Add the appropriate seventh character to each of these codes to indicate the encounter type: