S81.801A
S81.801A: Unspecified open wound, right lower leg, initial encounter
Billable / specific codeICD-10-CMright
S81.801A is a billable, specific ICD-10-CM code for unspecified open wound, right lower leg, initial encounter. It is valid for submission on a claim.
Check S81.801A with the rest of the claim: free scrubber7th character "A": initial encounter
The appropriate 7th character is to be added to each code from category S81
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above S81.801A
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S81.801A
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S81.801A is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56900Billing and Coding: Immunizations
Code history
Unchanged in every release from FY2024 to FY2027.