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S86.012D vs S86.019D

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

Relationship

Review

Laterality relationship

S86.012D
Left
Strain of left Achilles tendon, subsequent encounter
S86.019D
Unspecified
Strain of unspecified Achilles tendon, subsequent 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. S86.012D and S86.019D 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

S86.012DStrain of left Achilles tendon, subsequent encounterS86.019DStrain of unspecified Achilles tendon, subsequent 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 left Achilles tendon, subsequent encounter is a billable ICD-10-CM diagnosis code (S86.012D).Strain of unspecified Achilles tendon, subsequent encounter is a billable ICD-10-CM diagnosis code (S86.019D).
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