S86.211D
S86.211D: Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptright
S86.211D is a billable, specific ICD-10-CM code for strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, subsequent encounter. It is valid for submission on a claim.
Check S86.211D with the rest of the claim: free scrubber7th character "D": subsequent 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 S86.211D
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
S86.211D is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56787Billing and Coding: Nonvascular Extremity Ultrasound
Code history
Unchanged in every release from FY2024 to FY2027.