2026 ICD-10-CM Diagnosis Code S86.222SLaceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela
S86.222S is a billable ICD-10-CM diagnosis code for laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. 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. The code is exempt from POA reporting. Coders also document this condition as injury of anterior crural muscle of left lower leg. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S86.222S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Injury of anterior crural muscle of left lower leg
- Injury of anterior crural muscle of lower leg
- Laceration of anterior crural muscle of left lower leg
- Laceration of anterior crural muscle of lower leg
- Laceration of left lower leg
- Laceration of muscle of lower leg
- Left lower leg muscle laceration
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Injury of muscle, fascia and tendon at lower leg level (S86). 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
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 S86.222S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S86.222SOverview
Is S86.222S a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S86.222S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg itself has resolved, not the original event.
What MS-DRG does S86.222S group to?
When laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, with relative weights from 0.9160 to 1.4721 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S86.222S 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 laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela on inpatient claims.
What is the ICD-9 equivalent of S86.222S?
Under the General Equivalence Mappings, laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela converts to ICD-9-CM 906.1 (late eff open wnd extrem). 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.
