Is S86.919 a billable ICD-10-CM code?

No. S86.919 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S86.919 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).

S86.919

S86.919 — Strain of unspecified muscle(s) and tendon(s) at lower leg level, unspecified leg

Non-billable headerICD-10-CMunspecified

S86.919 is a non-billable header ICD-10-CM code for strain of unspecified muscle(s) and tendon(s) at lower leg level, unspecified leg. 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

S86.919 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 S86.919

3 child codes. Green means billable.

Related codes at this level

Codes that share S86.91. If S86.919 is not quite right, the correct code is usually one of these.

Questions about S86.919

Is S86.919 a billable ICD-10-CM code?: No. S86.919 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S86.919 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).