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Home/Diagnosis/ICD-10 Coding for Calf Strain

ICD-10 Coding for Calf Strain

S86.11
S86.21

Complete ICD-10-CM coding and documentation guide for icd-10 coding for calf strain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Gastrocnemius Strain
Soleus Strain
Tennis Leg
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Key Information: ICD-10 Coding for Calf Strain

Essential facts and insights about ICD-10 Coding for Calf Strain

Use ICD-10 code S86.11 for strain of posterior muscle group at lower leg level, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of posterior muscle group at lower leg level

Non-Billable
S86.11
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of tenderness and positive Thompson test
documentation:
  • • Documentation of specific muscle group involved

Applicable To

  • • Gastrocnemius strain
  • • Soleus strain

Important Notes

  • • Ensure documentation specifies the exact muscle involved and the mechanism of injury.

Strain of anterior muscle group at lower leg level

Non-Billable
S86.21
Non-Billable

Diagnostic Criteria

clinical:
  • • Pain on dorsiflexion against resistance
  • • Swelling over anterior compartment

Applicable To

  • • Tibialis anterior strain

Important Notes

  • • Ensure documentation specifies the anterior muscle group involvement.
Ancillary Codes

Additional codes that may be used with this diagnosis

S81.-

Open wound of lower leg

Use when there is an open wound associated with the calf strain.

W09.8xxA

Fall from playground equipment

Use as an external cause code if the injury resulted from a fall.

Frequently Asked Questions

What is the ICD-10 code for a calf strain?

The ICD-10 code for a calf strain is S86.11 for the posterior muscle group and S86.21 for the anterior muscle group.

How do you differentiate between gastrocnemius and soleus strains?

Gastrocnemius strains typically cause pain with knee extension, while soleus strains cause pain with knee flexion.

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