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S40.861A vs S40.869A

S40.861A (Insect bite (nonvenomous) of right upper arm, initial encounter) compared with S40.869A (Insect bite (nonvenomous) of unspecified upper arm, initial encounter), from the official CMS tabular data. S40.861A and S40.869A code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S40.861A
Right
Insect bite (nonvenomous) of right upper arm, initial encounter
S40.869A
Unspecified
Insect bite (nonvenomous) of unspecified upper arm, initial encounter

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S40.861A and S40.869A name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S40.861AInsect bite (nonvenomous) of right upper arm, initial encounterS40.869AInsect bite (nonvenomous) of unspecified upper arm, initial encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionInsect bite (nonvenomous) of right upper arm, initial encounter is a billable ICD-10-CM diagnosis code (S40.861A).Insect bite (nonvenomous) of unspecified upper arm, initial encounter is a billable ICD-10-CM diagnosis code (S40.869A).
7th characterThe appropriate 7th character is to be added to each code from category S40The appropriate 7th character is to be added to each code from category S40
Includes
injuries of axilla
injuries of scapular region
injuries of axilla
injuries of scapular region

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources