S89.81XA
S89.81XA — Other specified injuries of right lower leg, initial encounter
Billable / specific codeICD-10-CMright
S89.81XA is a billable, specific ICD-10-CM code for other specified injuries of right lower leg, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code in subcategory S89.8
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S89.81XA 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.
Medicare coverage
S89.81XA is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52996Billing and Coding: Routine Foot Care
- A56232Billing and Coding: Foot Care
- A56680Billing and Coding: Routine Foot Care
Related codes at this level
Codes that share S89.81. If S89.81XA is not quite right, the correct code is usually one of these.
Questions about S89.81XA
- Is S89.81XA a billable ICD-10-CM code?
- Yes. S89.81XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S89.81XA 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).