S86.12
S86.12 — Laceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg level
Non-billable headerICD-10-CM
S86.12 is a non-billable header ICD-10-CM code for laceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg level. 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 S86
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S86.12 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 S86.12
3 child codes. Green means billable.
- S86.121Laceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg
- S86.122Laceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg
- S86.129Laceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg
Related codes at this level
Codes that share S86.1. If S86.12 is not quite right, the correct code is usually one of these.
Questions about S86.12
- Is S86.12 a billable ICD-10-CM code?
- No. S86.12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S86.12 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).