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S86.091 vs S86.099

S86.091 (Other specified injury of right Achilles tendon) compared with S86.099 (Other specified injury of unspecified Achilles tendon), from the official CMS tabular data. S86.091 and S86.099 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S86.091
Right
Other specified injury of right Achilles tendon
S86.099
Unspecified
Other specified injury 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. S86.091 and S86.099 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

S86.091Other specified injury of right Achilles tendonS86.099Other specified injury of unspecified Achilles tendon
Billing statusNon-billable header

Report instead: S86.091A, S86.091D, S86.091S

Non-billable header

Report instead: S86.099A, S86.099D, S86.099S

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)
DefinitionOther specified injury of right Achilles tendon is a non-billable ICD-10-CM category code (S86.091).Other specified injury of unspecified Achilles tendon is a non-billable ICD-10-CM category code (S86.099).
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