2026 ICD-10-CM Diagnosis Code S30.860AInsect bite (nonvenomous) of lower back and pelvis, initial encounter
S30.860A is a billable ICD-10-CM diagnosis code for insect bite (nonvenomous) of lower back and pelvis, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 606 through 607, 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Superficial injury; contusion, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Animal bite of buttock
- Infected insect bite of pelvic region
- Infected wound of low back due to nonvenomous insect bite
- Insect bite of pelvic region
- Insect bite, nonvenomous, of buttock
- Insect bite, nonvenomous, of perineum
- Nonvenomous insect bite of back with infection
- Nonvenomous insect bite of buttock with infection
- Nonvenomous insect bite of buttock without infection
- Nonvenomous insect bite of lower limb without infection
- Nonvenomous insect bite of pelvis
- Nonvenomous insect bite of pelvis with infection
- Nonvenomous insect bite of perineum with infection
- Nonvenomous insect bite of sacrum
- Superficial injury of buttock with infection
- Superficial injury of buttock without infection
- Superficial injury of skin of sacral region
- Wound of lower back due to nonvenomous insect bite
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Superficial injury of abdomen, lower back, pelvis and external genitals (S30). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Insect Bites and Stings
Most insect bites are harmless, though they sometimes cause discomfort. Bee, wasp, and hornet stings and fire ant bites usually hurt. Mosquito and flea bites usually itch. Insects can also spread diseases. In the United States, some mosquitoes spread West Nile virus.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S30.860A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S30.860AOverview
Is S30.860A (Insect bite (nonvenomous) of lower back and pelvis) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report insect bite (nonvenomous) of lower back and pelvis, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S30.860A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for insect bite (nonvenomous) of lower back and pelvis, such as an emergency visit or first evaluation.
What MS-DRG does S30.860A group to?
When insect bite (nonvenomous) of lower back and pelvis, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 606, 607, 963, 964, 965, with relative weights from 0.9064 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S30.860A?
Under the General Equivalence Mappings, insect bite (nonvenomous) of lower back and pelvis, initial encounter converts to ICD-9-CM 911.4 (insect bite trunk). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
