S84.92XA ICD-10-CM Code: Injury of unspecified nerve at lower leg level, left leg, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- 7th character
- Required — see the character table on this page
- Tabular directives
- 5 Excludes2 · 1 code-also instruction
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 073 — CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC (MDC 01)
- MS-DRG 074 — CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC (MDC 01)
- MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
- MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
- MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S84.92XA in the official ICD-10-CM tabular list.
Notes without a marker are published on S84.92XA itself; “inherited from” names the category or block whose note applies here.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- injury of nerves at ankle and foot level (S94.-) inherited from S84Compare S84.92XA vs S94 →
- burns and corrosions (T20-T32) inherited from S80-S89Compare S84.92XA vs T20 →
- frostbite (T33-T34) inherited from S80-S89Compare S84.92XA vs T33 →
- injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99) inherited from S80-S89Compare S84.92XA vs S90 →
- insect bite or sting, venomous (T63.4) inherited from S80-S89Compare S84.92XA vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated open wound (S81.-)
Source: inherited from S84
7th Character Guide
"The appropriate 7th character is to be added to each code from category S84"
- A — initial encounter (this page’s code)
- D — subsequent encounter
- S — sequela
How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.
ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).
Variant codes in this family
Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionInjury of unspecified nerve at lower leg level, left leg, initial encounter
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Decision Points
The directives on this code's own record, as a pre-claim checklist.
- A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
- Laterality is coded in this family. Confirm the documented side matches the code — the opposite-side siblings are in the relationships section. See the opposite-side sibling codes
- 1 Code Also note — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
- 5 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes
Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Other codes that name S84.92XA or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 2 Excludes2 notes across 2 chapters: M23 — Internal derangement of knee (via S84.-), S74 — Injury of nerves at hip and thigh level (via S84.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
MS-DRG Grouper Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Potential MS-DRG participation — not a DRG assignment.
Named in the grouper logic of 5 MS-DRGs: DRG 073 (MDC 01), DRG 074 (MDC 01), DRG 963 (MDC 24), DRG 964 (MDC 24), DRG 965 (MDC 24).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ025 — Injury to nerves, muscles and tendons, initial encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same condition, opposite side
Same category and title, differing only in which side of the body is affected.
S84.90XA — Injury of unspecified nerve at lower leg level, unspecified leg, initial encounter (unspecified)Compare S84.92XA vs S84.90XA →, S84.91XA — Injury of unspecified nerve at lower leg level, right leg, initial encounter (right)Compare S84.92XA vs S84.91XA →
Same injury, other encounter phase
Same injury, coded at a different phase of treatment via the 7th character.
S84.92XD — Injury of unspecified nerve at lower leg level, left leg, subsequent encounterCompare S84.92XA vs S84.92XD →, S84.92XS — Injury of unspecified nerve at lower leg level, left leg, sequelaCompare S84.92XA vs S84.92XS →
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Injury to nerves, muscles and tendons, initial encounter).
Contextual Map
Every relationship of S84.92XA in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]
- S80-S89 — Injuries to the knee and lower leg[Hierarchy]
Referenced by Excludes2 notes
- M23 — Internal derangement of knee[Excludes2](via S84.-): “current injury - see injury of knee and lower leg (S80-S89)” · Check S84.92XA + M23 together
- S74 — Injury of nerves at hip and thigh level[Excludes2](via S84.-): “injury of nerves at lower leg level (S84.-)” · Check S84.92XA + S74 together
Clinical classification (CCSR)
MS-DRG Grouper
- DRG 073 — CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC[MS-DRG]: “CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC (MDC 01)”
- DRG 074 — CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC[MS-DRG]: “CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC (MDC 01)”
- DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC[MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)”
- DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC[MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)”
- DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC[MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)”
MDC crossing
- MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 8,892 same-MDC procedures group here; browse them on the MDC page.”
- MDC 24 — Multiple Significant Trauma[MDC crossing]: “Multiple Significant Trauma — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 22,957 same-MDC procedures group here; browse them on the MDC page.”
Nearest codes (40)
- S84 — Injury of nerves at lower leg level[Sibling]
- S84.12XS — Injury of peroneal nerve at lower leg level, left leg, sequela[Sibling]
- S84.2 — Injury of cutaneous sensory nerve at lower leg level[Sibling]
- S84.20 — Injury of cutaneous sensory nerve at lower leg level, unspecified leg[Sibling]
- S84.20XA — Injury of cutaneous sensory nerve at lower leg level, unspecified leg, initial encounter[Sibling]
- S84.20XD — Injury of cutaneous sensory nerve at lower leg level, unspecified leg, subsequent encounter[Sibling]
- S84.20XS — Injury of cutaneous sensory nerve at lower leg level, unspecified leg, sequela[Sibling]
- S84.21 — Injury of cutaneous sensory nerve at lower leg level, right leg[Sibling]
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S84.92XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S84.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S84.92XA in its code family, with their registry titles.
- S84.90 — Injury of unspecified nerve at lower leg level, unspecified leg
- S84.90XA — Injury of unspecified nerve at lower leg level, unspecified leg, initial encounter
- S84.90XD — Injury of unspecified nerve at lower leg level, unspecified leg, subsequent encounter
- S84.90XS — Injury of unspecified nerve at lower leg level, unspecified leg, sequela
- S84.91 — Injury of unspecified nerve at lower leg level, right leg
- S84.91XA — Injury of unspecified nerve at lower leg level, right leg, initial encounter
- S84.91XD — Injury of unspecified nerve at lower leg level, right leg, subsequent encounter
- S84.91XS — Injury of unspecified nerve at lower leg level, right leg, sequela
- S84.92 — Injury of unspecified nerve at lower leg level, left leg
- S84.92XD — Injury of unspecified nerve at lower leg level, left leg, subsequent encounter