2026 ICD-10-CM Diagnosis Code S80.11XAContusion of right lower leg, initial encounter
S80.11XA is a billable ICD-10-CM diagnosis code for contusion of right lower leg, 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 604 through 605, 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.
- Contusion of lateral condyle of right tibia
- Contusion of lateral condyle of tibia
- Contusion of medial condyle of right tibia
- Contusion of medial condyle of tibia
- Contusion of right knee
- Contusion of right lower leg
- Contusion, knee and lower leg
- Hematoma of lower leg
- Hematoma of right lower leg
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Superficial injury of knee and lower leg (S80). 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
Bruises
A bruise is a mark on your skin caused by blood trapped under the surface. It happens when an injury crushes small blood vessels but does not break the skin. Those vessels break open and leak blood under the skin.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S80.11XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S80.11XAOverview
Is S80.11XA (Contusion of right lower leg) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report contusion of right lower leg, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S80.11XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for contusion of right lower leg, such as an emergency visit or first evaluation.
What MS-DRG does S80.11XA group to?
When contusion of right lower leg, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, 963, 964, 965, with relative weights from 0.9160 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S80.11XA?
Under the General Equivalence Mappings, contusion of right lower leg, initial encounter converts to ICD-9-CM 924.10 (contusion of lower leg). 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.
