S30.86

S30.86: Insect bite (nonvenomous) of abdomen, lower back, pelvis and external genitals

Non-billable headerICD-10-CM

S30.86 is a non-billable header ICD-10-CM code for insect bite (nonvenomous) of abdomen, lower back, pelvis and external genitals. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S30

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 inherited from the categories above S30.86

Not part of this code, but both may be coded when both are present.

Written on S30: Superficial injury of abdomen, lower back, pelvis and external genitals

superficial injury of hip (S70.-)

Other codes that can never be billed with S30.86

Their own Excludes1 notes name this code, so the conflict is not listed above.

S31.05Open bite of lower back and pelvis
S31.25Open bite of penis
S31.25XAOpen bite of penis, initial encounter
S31.25XDOpen bite of penis, subsequent encounter
S31.25XSOpen bite of penis, sequela
S31.35Open bite of scrotum and testes
S31.35XAOpen bite of scrotum and testes, initial encounter
S31.35XDOpen bite of scrotum and testes, subsequent encounter

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S30.86

9 child codes. Green means billable.