2026 ICD-10-CM Diagnosis Code S85.101AUnspecified injury of unspecified tibial artery, right leg, initial encounter

ICD-10-CM Codes›S00–T88›S80-S89›S85

ICD-10-CM S85.101A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S85.101A is a billable ICD-10-CM diagnosis code for unspecified injury of unspecified tibial artery, right 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 913 through 914, 963 through 965. Coders also document this condition as injury of right tibial artery. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to blood vessels, initial encounter.

Code Identity

ICD-10-CM Code
S85.101A
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified injury of unspecified tibial artery, right leg, initial encounter
Short Description
Unsp injury of unsp tibial artery, right leg, init encntr
Parent Code
S85.101
Unspecified injury of unspecified tibial artery, right leg

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS80-S89Injuries to the knee and lower leg
CategoryS85Injury of blood vessels at lower leg level
This CodeS85.101AUnspecified injury of unspecified tibial artery, right leg, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Injury of right tibial artery

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of blood vessels at lower leg level (S85). 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.

CCSR INJ016
Injury to blood vessels, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Leg Injuries and Disorders

Your legs are made up of bones, blood vessels, muscles, and other connective tissue. They are important for motion and standing. Playing sports, running, falling, or having an accident can damage your legs. Common leg injuries include sprains and strains, joint dislocations, and fractures (broken bones).

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S85.101A to ICD-9-CMHistory

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

ICD-9-CM
904.50 Injury tibial vessel NOS
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S85.101AOverview

Is S85.101A (Unspecified injury of unspecified tibial artery, right leg) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified injury of unspecified tibial artery, right leg, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in S85.101A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for unspecified injury of unspecified tibial artery, right leg, such as an emergency visit or first evaluation.

What MS-DRG does S85.101A group to?

When unspecified injury of unspecified tibial artery, right leg, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 913, 914, 963, 964, 965, with relative weights from 0.8855 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S85.101A?

Under the General Equivalence Mappings, unspecified injury of unspecified tibial artery, right leg, initial encounter converts to ICD-9-CM 904.50 (injury tibial vessel NOS). 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.