MCMCB Pro
S80.262S

S80.262SInsect bite (nonvenomous), left knee, sequela

Billable / specific codeICD-10-CMPOA exemptleft

S80.262S is a billable, specific ICD-10-CM code for insect bite (nonvenomous), left knee, 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 S80

A
initial encounter
D
subsequent encounter
S
sequela

Risk adjustment

S80.262S 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

S80.262S is named in 1 Medicare coverage policy 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A56459Billing and Coding: Debridement Services

Related codes at this level

Codes that share S80.262. If S80.262S is not quite right, the correct code is usually one of these.

Questions about S80.262S

Is S80.262S a billable ICD-10-CM code?
Yes. S80.262S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S80.262S 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.