S80.86 — Insect bite (nonvenomous) of lower leg
S80.86 is a non-billable header ICD-10-CM code for insect bite (nonvenomous) of lower leg. 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 S80
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with S80.86
These codes carry an Excludes1 note pointing at S80.86. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S80.86 alone.
- S81.85Open bite of lower leg
Risk adjustment
S80.86 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.
Code to one of these instead S80.86
3 child codes. Green means billable.
Related codes at this level
Codes that share S80.8. If S80.86 is not quite right, the correct code is usually one of these.
Questions about S80.86
- Is S80.86 a billable ICD-10-CM code?
- No. S80.86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S80.86 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).