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S86.221 vs S86.222

S86.221 (Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg) compared with S86.222 (Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg), from the official CMS tabular data. S86.221 and S86.222 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S86.221
Right
Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg
↔
S86.222
Left
Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg

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. S86.221 and S86.222 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

S86.221Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right legS86.222Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg
Billing statusNon-billable header

Report instead: S86.221A, S86.221D, S86.221S

Non-billable header

Report instead: S86.222A, S86.222D, S86.222S

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)
DefinitionLaceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg is a non-billable ICD-10-CM category code (S86.221).Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg is a non-billable ICD-10-CM category code (S86.222).
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
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources