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Home/Diagnosis/ICD-10 Coding for Right Calf Strain

ICD-10 Coding for Right Calf Strain

S86.111A

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

Also Known as:
Right Posterior Calf Muscle Strain
Right Soleus Strain
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Key Information: ICD-10 Coding for Right Calf Strain

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

Use ICD-10 code S86.111A for strain of other muscle(s)/tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of other muscle(s)/tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter

Billable Code
S86.111A
Billable

Diagnostic Criteria

clinical:
  • • Confirmed strain of soleus, plantaris, or popliteus via imaging
coding:
  • • Use 7th character 'A' for initial encounter
documentation:
  • • Specify muscle involved and laterality

Applicable To

  • • Strain of soleus
  • • Strain of plantaris
  • • Strain of popliteus

Important Notes

  • • Ensure specific muscle identification and laterality are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

M79.642

Pain in right calf

Use for documenting persistent pain without confirmed muscle tear.

Frequently Asked Questions

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

The ICD-10 code for a right calf strain is S86.111A, which covers strains of the soleus, plantaris, or popliteus muscles in the right calf.

How do you document a right calf strain?

Document the specific muscle involved, the mechanism of injury, and confirm with imaging. Include details like the onset of pain and any audible 'pop' during the injury.

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