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S80.861 vs S80.869

S80.861 (Insect bite (nonvenomous), right lower leg) compared with S80.869 (Insect bite (nonvenomous), unspecified lower leg), from the official CMS tabular data. S80.861 and S80.869 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S80.861
Right
Insect bite (nonvenomous), right lower leg
S80.869
Unspecified
Insect bite (nonvenomous), unspecified lower leg

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. S80.861 and S80.869 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

S80.861Insect bite (nonvenomous), right lower legS80.869Insect bite (nonvenomous), unspecified lower leg
Billing statusNon-billable header

Report instead: S80.861A, S80.861D, S80.861S

Non-billable header

Report instead: S80.869A, S80.869D, S80.869S

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 lower leg is a non-billable ICD-10-CM category code (S80.861).Insect bite (nonvenomous), unspecified lower leg is a non-billable ICD-10-CM category code (S80.869).
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