S86.202A
S86.202A: Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter
Billable / specific codeICD-10-CMleft
S86.202A is a billable, specific ICD-10-CM code for unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter. It is valid for submission on a claim.
Check S86.202A 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 S86.202A
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
S86.202A is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52996Billing and Coding: Routine Foot Care
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56232Billing and Coding: Foot Care
Code history
Unchanged in every release from FY2024 to FY2027.