Strain of musc/tend at lower leg level, unsp leg, subs

Strain of other muscle(s) and tendon(s) at lower leg level, unspecified leg, subsequent encounter

📋Clinical Description

This code signifies a muscle or tendon strain in the lower leg, excluding the Achilles tendon, gastrocnemius, plantaris, or other specified muscles/tendons. It indicates the patient is receiving follow-up care for an injury that has already been treated.

🎯When to Use

Apply this code for subsequent encounters when a patient presents for ongoing management, healing, or rehabilitation of an unspecified lower leg muscle or tendon strain. This includes visits for physical therapy, re-evaluation, or medication refills related to the initial injury.

💡Coding Tips

Requires a seventh character "D" for subsequent encounter, indicating active treatment after the initial phase.
Ensure documentation specifies "unspecified leg" if laterality is not documented.
Verify that the strain is not of the Achilles tendon (S86.0-), gastrocnemius (S86.2-), or plantaris (S86.3-) to avoid miscoding.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S86.819Strain of musc/tend at lower leg level, unsp leg

S86.819D(current)

Crosswalks

V58.89ApproxICD-9

Same Category

S86Injury of muscle, fascia and tendon at lower leg level S86.0Injury of Achilles tendon S86.00Unspecified injury of Achilles tendon S86.001Unspecified injury of right Achilles tendon S86.001AUnspecified injury of right Achilles tendon, init encntr