S86.809A — Unspecified injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, initial encounter
Is S86.809A billable?
Yes, but S86.809A is an unspecified code. S86.809A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S86.809A is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S86.809A — the more specific alternatives are listed below.
More specific alternatives
S86.809A at a glance
| Code | S86.809A |
|---|---|
| Description | Unspecified injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in S86.809A?
In S86.809A, the 7th character A means initial encounter. The 7th character is required for S86.809A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S86.809A group to?
S86.809A sits in MDC 21 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 913Traumatic Injury with MCCmedical
- 914Traumatic Injury without MCCmedical
How is S86.809A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S86.80, the nearest indexed parent of S86.809A. Use them to find the family, then select the specific code.
- Injury › muscle › leg › specified › site NEC
Use additional code — inherited from Chapter 19
Report an additional code alongside S86.809A to fully describe the condition. S86.809A 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 S86.809A, but a patient may have both at the same time. When documentation supports it, S86.809A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S80-S89
The conditions below are not part of S86.809A, but a patient may have both at the same time. When documentation supports it, S86.809A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S86
The conditions below are not part of S86.809A, but a patient may have both at the same time. When documentation supports it, S86.809A and the excluded code may both be reported.
Code also — inherited from S86
Two codes may be needed to describe the condition fully. Whether S86.809A is sequenced first depends on the reason for the encounter.
- any associated open wound (S81.-)
How long has S86.809A existed?
S86.809A 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.