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S86.092A vs S86.099A

S86.092A (Other specified injury of left Achilles tendon, initial encounter) compared with S86.099A (Other specified injury of unspecified Achilles tendon, initial encounter), from the official CMS tabular data. S86.092A and S86.099A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S86.092A
Left
Other specified injury of left Achilles tendon, initial encounter
S86.099A
Unspecified
Other specified injury 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. S86.092A and S86.099A 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

S86.092AOther specified injury of left Achilles tendon, initial encounterS86.099AOther specified injury 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)
DefinitionOther specified injury of left Achilles tendon, initial encounter is a billable ICD-10-CM diagnosis code (S86.092A).Other specified injury of unspecified Achilles tendon, initial encounter is a billable ICD-10-CM diagnosis code (S86.099A).
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