S86.109A
S86.109A: Unspecified injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, initial encounter
Billable / specific codeICD-10-CMunspecified
S86.109A is a billable, specific ICD-10-CM code for unspecified injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, initial encounter. It is valid for submission on a claim.
Check S86.109A 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 S86
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes2 inherited from the categories above S86.109A
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
S86.109A is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52996Billing and Coding: Routine Foot Care
- A56680Billing and Coding: Routine Foot Care
Code history
Unchanged in every release from FY2024 to FY2027.