S85.511A
S85.511A — Laceration of popliteal vein, right leg, initial encounter
Billable / specific codeICD-10-CMright
S85.511A is a billable, specific ICD-10-CM code for laceration of popliteal vein, right 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
S85.511A 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
S85.511A is named in 4 Medicare coverage policies — 4 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
- A56758Billing and Coding: Non-Invasive Vascular Studies
- A56775Billing and Coding: Magnetic Resonance Angiography
- A57594Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
Related codes at this level
Codes that share S85.511. If S85.511A is not quite right, the correct code is usually one of these.
Questions about S85.511A
- Is S85.511A a billable ICD-10-CM code?
- Yes. S85.511A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S85.511A 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).