Is S30.87AS a billable ICD-10-CM code?

Yes. S30.87AS is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S30.87AS sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).

What cannot be coded together with S30.87AS?

S30.87AS carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S30.87AS (S30.87) and apply to it just the same.

S30.87AS

S30.87AS — Other superficial bite of flank, sequela

Billable / specific codeICD-10-CMPOA exempt

S30.87AS is a billable, specific ICD-10-CM code for other superficial bite of flank, sequela. It is valid for submission on a claim.

7th character "S" — sequela

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

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above S30.87AS

These are not written on S30.87AS, but they bind it: a note on a category applies to every code beneath it. Billing S30.87AS with anything listed here is a denial.

Written on S30.87 — Other superficial bite of abdomen, lower back, pelvis and external genitals

open bite of abdomen, lower back, pelvis and external genitals (S31.05, S31.15, S31.25, S31.35, S31.45, S31.55)

Excludes2 inherited from the categories above S30.87AS

Also inherited, and the opposite of Excludes1: these conditions are not part of S30.87AS, but a patient can have both, so you may code both.

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

superficial injury of hip (S70.-)

Risk adjustment

S30.87AS does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

S30.87AS is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53064Billing and Coding: Outpatient Occupational Therapy
A53065Billing and Coding: Outpatient Physical Therapy

Code history

What changed, and when. Derived by diffing consecutive CMS release files — which matters when you are defending a code assigned under an earlier edition.

addedFY2024-FY2026
Other superficial bite of flank, sequela

Related codes at this level

Codes that share S30.87A. If S30.87AS is not quite right, the correct code is usually one of these.

Questions about S30.87AS

Is S30.87AS a billable ICD-10-CM code?: Yes. S30.87AS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S30.87AS sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).
What cannot be coded together with S30.87AS?: S30.87AS carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S30.87AS (S30.87) and apply to it just the same.