S85.172A
S85.172A — Laceration of posterior tibial artery, left leg, initial encounter
Billable / specific codeICD-10-CMleft
S85.172A is a billable, specific ICD-10-CM code for laceration of posterior tibial artery, left 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 S85
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S85.172A 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
S85.172A is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A56747Billing and Coding: Magnetic Resonance Angiography (MRA)
- A56758Billing and Coding: Non-Invasive Vascular Studies
Related codes at this level
Codes that share S85.172. If S85.172A is not quite right, the correct code is usually one of these.
Questions about S85.172A
- Is S85.172A a billable ICD-10-CM code?
- Yes. S85.172A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S85.172A 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).