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S86.011A vs S86.019A

S86.011A (Strain of right Achilles tendon, initial encounter) compared with S86.019A (Strain of unspecified Achilles tendon, initial encounter), from the official CMS tabular data. S86.011A and S86.019A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S86.011A
Right
Strain of right Achilles tendon, initial encounter
S86.019A
Unspecified
Strain of unspecified Achilles tendon, 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. S86.011A and S86.019A 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

S86.011AStrain of right Achilles tendon, initial encounterS86.019AStrain of unspecified Achilles tendon, 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)
DefinitionStrain of right Achilles tendon, initial encounter is a billable ICD-10-CM diagnosis code (S86.011A).Strain of unspecified Achilles tendon, initial encounter is a billable ICD-10-CM diagnosis code (S86.019A).
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 S86

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