S80.11XA
S80.11XA — Contusion of right lower leg, initial encounter
Billable / specific codeICD-10-CMright
S80.11XA is a billable, specific ICD-10-CM code for contusion of right lower leg, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S80
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S80.11XA 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
S80.11XA is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53065Billing and Coding: Outpatient Physical Therapy
- A56459Billing and Coding: Debridement Services
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Related codes at this level
Codes that share S80.11. If S80.11XA is not quite right, the correct code is usually one of these.
Questions about S80.11XA
- Is S80.11XA a billable ICD-10-CM code?
- Yes. S80.11XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S80.11XA sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the knee and lower leg (S80-S89).