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S86.012 vs S86.019

S86.012 (Strain of left Achilles tendon) compared with S86.019 (Strain of unspecified Achilles tendon), from the official CMS tabular data. S86.012 and S86.019 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S86.012
Left
Strain of left Achilles tendon
S86.019
Unspecified
Strain of unspecified Achilles tendon

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. S86.012 and S86.019 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

S86.012Strain of left Achilles tendonS86.019Strain of unspecified Achilles tendon
Billing statusNon-billable header

Report instead: S86.012A, S86.012D, S86.012S

Non-billable header

Report instead: S86.019A, S86.019D, S86.019S

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 left Achilles tendon is a non-billable ICD-10-CM category code (S86.012).Strain of unspecified Achilles tendon is a non-billable ICD-10-CM category code (S86.019).
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