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Compare/S86.0 vs S93.4

S86.0 vs S93.4

S86.0 (Injury of Achilles tendon) compared with S93.4 (Sprain of ankle), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S93.4 carries an Excludes2 note covering S86.0: “injury of Achilles tendon (S86.0-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

S86.0Injury of Achilles tendonS93.4Sprain of ankle
Billing statusNon-billable header

Report instead: S86.001A, S86.001D, S86.001S, S86.002A, S86.002D

Non-billable header

Report instead: S93.401A, S93.401D, S93.401S, S93.402A, S93.402D

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)
DefinitionInjury of Achilles tendon is a non-billable ICD-10-CM category code (S86.0).Sprain of ankle is a non-billable ICD-10-CM category code (S93.4).
7th characterThe appropriate 7th character is to be added to each code from category S86The appropriate 7th character is to be added to each code from category S93
Includes
avulsion of joint or ligament of ankle, foot and toe
laceration of cartilage, joint or ligament of ankle, foot and toe
sprain of cartilage, joint or ligament of ankle, foot and toe
traumatic hemarthrosis of joint or ligament of ankle, foot and toe

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