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S80.261A vs S80.262A

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

Relationship

Review

Laterality relationship

S80.261A
Right
Insect bite (nonvenomous), right knee, initial encounter
S80.262A
Left
Insect bite (nonvenomous), left knee, 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. S80.261A and S80.262A 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

S80.261AInsect bite (nonvenomous), right knee, initial encounterS80.262AInsect bite (nonvenomous), left knee, initial encounter
Billing statusBillableBillable
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, initial encounter is a billable ICD-10-CM diagnosis code (S80.261A).Insect bite (nonvenomous), left knee, initial encounter is a billable ICD-10-CM diagnosis code (S80.262A).
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