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S80.261 vs S80.262

S80.261 (Insect bite (nonvenomous), right knee) compared with S80.262 (Insect bite (nonvenomous), left knee), from the official CMS tabular data. S80.261 and S80.262 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S80.261
Right
Insect bite (nonvenomous), right knee
S80.262
Left
Insect bite (nonvenomous), left knee

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. S80.261 and S80.262 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

S80.261Insect bite (nonvenomous), right kneeS80.262Insect bite (nonvenomous), left knee
Billing statusNon-billable header

Report instead: S80.261A, S80.261D, S80.261S

Non-billable header

Report instead: S80.262A, S80.262D, S80.262S

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionInsect bite (nonvenomous), right knee is a non-billable ICD-10-CM category code (S80.261).Insect bite (nonvenomous), left knee is a non-billable ICD-10-CM category code (S80.262).
7th characterThe appropriate 7th character is to be added to each code from category S80The appropriate 7th character is to be added to each code from category S80

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