2027 ICD-10-CM Diagnosis Code S30.860DInsect bite (nonvenomous) of lower back and pelvis, subsequent encounter

ICD-10-CM Codes›S00–T88›S30-S39›S30

ICD-10-CM S30.860D
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S30.860D is a billable ICD-10-CM diagnosis code for insect bite (nonvenomous) of lower back and pelvis, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Superficial injury; contusion, subsequent encounter.

Code Identity

ICD-10-CM Code
S30.860D
Billable Status
Yes — Valid for Submission
Code Describes
Insect bite (nonvenomous) of lower back and pelvis, subsequent encounter
Short Description
Insect bite (nonvenomous) of lower back and pelvis, subs
Parent Code
S30.860
Insect bite (nonvenomous) of lower back and pelvis

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS30-S39Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
CategoryS30Superficial injury of abdomen, lower back, pelvis and external genitals
This CodeS30.860DInsect bite (nonvenomous) of lower back and pelvis, subsequent encounter

Present on Admission (POA)Billing

S30.860D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bite wound of lower back
  • 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 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S30.860D: its own notes plus those printed at S30, block S30-S39, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • injuries to the abdominal wall
  • injuries to the anus
  • injuries to the buttock
  • injuries to the external genitalia
  • injuries to the flank
  • injuries to the groin

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From S30 Superficial injury of abdomen, lower back, pelvis and external genitals applies to 216 codes
  • superficial injury of hip (S70.-)
From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • burns and corrosions (T20-T32)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From S30 Superficial injury of abdomen, lower back, pelvis and external genitals applies to 216 codes
  • The appropriate 7th character is to be added to each code from category S30
Values for category S30 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter this code
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name S30.860D, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming S30.860D: they are not reported together with it, unless the two conditions are unrelated.

  • S31.05 Open bite of lower back and pelvis
    superficial bite of lower back and pelvis (S30.860, S30.870) names S30.860, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ054
Superficial injury; contusion, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

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 S30.860D to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V58.89 Other specfied aftercare
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S30.860DOverview

Is S30.860D (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, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character D in S30.860D mean?

The final character D marks a subsequent encounter: use it for routine care while the insect bite (nonvenomous) of lower back and pelvis is healing, after active treatment has ended.

What MS-DRG does S30.860D group to?

When insect bite (nonvenomous) of lower back and pelvis, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S30.860D exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for insect bite (nonvenomous) of lower back and pelvis, subsequent encounter on inpatient claims. The code appears in the Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39) range of the CMS exempt list.

What is the ICD-9 equivalent of S30.860D?

Under the General Equivalence Mappings, insect bite (nonvenomous) of lower back and pelvis, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.