S86.111A (Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter)
compared with
S86.119A (Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, initial encounter),
from the official CMS tabular data. S86.111A and S86.119A code the same condition on opposite sides.
Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, 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. S86.111A and S86.119A 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.
S00-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)
Definition
Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter is a billable ICD-10-CM diagnosis code (S86.111A).
Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, initial encounter is a billable ICD-10-CM diagnosis code (S86.119A).
7th character
The appropriate 7th character is to be added to each code from category S86
The appropriate 7th character is to be added to each code from category S86