S86.3
S86.3 — Injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level
Non-billable headerICD-10-CM
S86.3 is a non-billable header ICD-10-CM code for injury of muscle(s) and tendon(s) of peroneal 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
S86.3 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 S86.3
4 child codes. Green means billable.
- S86.30Unspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level
- S86.31Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level
- S86.32Laceration of muscle(s) and tendon(s) of peroneal muscle group at lower leg level
- S86.39Other injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level
Related codes at this level
Codes that share S86. If S86.3 is not quite right, the correct code is usually one of these.
- S86.0Injury of Achilles tendon
- S86.1Injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level
- S86.2Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level
- S86.8Injury of other muscles and tendons at lower leg level
- S86.9Injury of unspecified muscle and tendon at lower leg level
Questions about S86.3
- Is S86.3 a billable ICD-10-CM code?
- No. S86.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S86.3 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).