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S86.811 vs S86.819

S86.811 (Strain of other muscle(s) and tendon(s) at lower leg level, right leg) compared with S86.819 (Strain of other muscle(s) and tendon(s) at lower leg level, unspecified leg), from the official CMS tabular data. S86.811 and S86.819 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S86.811
Right
Strain of other muscle(s) and tendon(s) at lower leg level, right leg
S86.819
Unspecified
Strain of other muscle(s) and tendon(s) at lower leg level, unspecified 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. S86.811 and S86.819 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

S86.811Strain of other muscle(s) and tendon(s) at lower leg level, right legS86.819Strain of other muscle(s) and tendon(s) at lower leg level, unspecified leg
Billing statusNon-billable header

Report instead: S86.811A, S86.811D, S86.811S

Non-billable header

Report instead: S86.819A, S86.819D, S86.819S

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)
DefinitionStrain of other muscle(s) and tendon(s) at lower leg level, right leg is a non-billable ICD-10-CM category code (S86.811).Strain of other muscle(s) and tendon(s) at lower leg level, unspecified leg is a non-billable ICD-10-CM category code (S86.819).
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