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S96.811 vs S96.812

S96.811 (Strain of other specified muscles and tendons at ankle and foot level, right foot) compared with S96.812 (Strain of other specified muscles and tendons at ankle and foot level, left foot), from the official CMS tabular data. S96.811 and S96.812 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S96.811
Right
Strain of other specified muscles and tendons at ankle and foot level, right foot
S96.812
Left
Strain of other specified muscles and tendons at ankle and foot level, left foot

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. S96.811 and S96.812 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

S96.811Strain of other specified muscles and tendons at ankle and foot level, right footS96.812Strain of other specified muscles and tendons at ankle and foot level, left foot
Billing statusNon-billable header

Report instead: S96.811A, S96.811D, S96.811S

Non-billable header

Report instead: S96.812A, S96.812D, S96.812S

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionStrain of other specified muscles and tendons at ankle and foot level, right foot is a non-billable ICD-10-CM category code (S96.811).Strain of other specified muscles and tendons at ankle and foot level, left foot is a non-billable ICD-10-CM category code (S96.812).
7th characterThe appropriate 7th character is to be added to each code from category S96The appropriate 7th character is to be added to each code from category S96

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources