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S86.801D vs S86.809D

S86.801D (Unspecified injury of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter) compared with S86.809D (Unspecified injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, subsequent encounter), from the official CMS tabular data. S86.801D and S86.809D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S86.801D
Right
Unspecified injury of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter
S86.809D
Unspecified
Unspecified injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, 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. S86.801D and S86.809D 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

S86.801DUnspecified injury of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounterS86.809DUnspecified injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, 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)
DefinitionUnspecified injury of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter is a billable ICD-10-CM diagnosis code (S86.801D).Unspecified injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, subsequent encounter is a billable ICD-10-CM diagnosis code (S86.809D).
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