ICDcodes.org
FY2027

S86.122ALaceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, initial encounter

BillableCC

Is S86.122A billable?

Yes — S86.122A is billable for FY2027. S86.122A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S86.122A may be submitted for encounters from October 1, 2026 through September 30, 2027.

S86.122A at a glance

CodeS86.122A
DescriptionLaceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, initial encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter

What does the 7th character "A" mean in S86.122A?

In S86.122A, the 7th character A means initial encounter. The 7th character is required for S86.122A to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S86.122A group to?

S86.122A sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCCmedical
  • 565Other Musculoskeletal System and Connective Tissue Diagnoses with CCmedical
  • 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCCmedical

As a secondary diagnosis, S86.122A is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is S86.122A listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S86.12, the nearest indexed parent of S86.122A. Use them to find the family, then select the specific code.

  • Injurymuscleposterior muscleleg levellaceration

Use additional code — inherited from Chapter 19

Report an additional code alongside S86.122A to fully describe the condition. S86.122A is sequenced first.

  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of S86.122A, but a patient may have both at the same time. When documentation supports it, S86.122A and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S80-S89

The conditions below are not part of S86.122A, but a patient may have both at the same time. When documentation supports it, S86.122A and the excluded code may both be reported.

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)
  • insect bite or sting, venomous (T63.4)

Excludes2 — not included here — inherited from S86

The conditions below are not part of S86.122A, but a patient may have both at the same time. When documentation supports it, S86.122A and the excluded code may both be reported.

  • injury of muscle, fascia and tendon at ankle (S96.-)
  • injury of patellar ligament (tendon) (S76.1-)
  • sprain of joints and ligaments of knee (S83.-)

Code also — inherited from S86

Two codes may be needed to describe the condition fully. Whether S86.122A is sequenced first depends on the reason for the encounter.

  • any associated open wound (S81.-)

How long has S86.122A existed?

S86.122A has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.