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ICD-10-CM 2027 diagnosis code

S85.511SLaceration of popliteal vein, right leg, sequela

✓ Billable / specificPOA exemptRequires 7th character

S85.511S is a valid, billable ICD-10-CM code for laceration of popliteal vein, right leg, sequela. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S85.511S

S85.511S is the ICD-10-CM diagnosis code for laceration of popliteal vein, right leg, sequela. It belongs to category S85 (injury of blood vessels at lower leg level), block S80-S89 (injuries to the knee and lower leg) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "S" means sequela: use it for complications or conditions that arise as a direct result of the original condition.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 299 (Peripheral Vascular Disorders with MCC, relative weight 1.5842), DRG 300 (Peripheral Vascular Disorders with CC, relative weight 1.0464) and DRG 301 (Peripheral Vascular Disorders without CC/MCC, relative weight 0.7133), in MDC 05 (Diseases and Disorders of the Circulatory System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 908.3 (late effect of injury to blood vessel of head, neck, and extremities).

7th character

Ssequela

CC/MCC status for this injury by encounter: MCC for A; Neither CC nor MCC for D, S.

Other encounter types for S85.511:

Notes that apply from higher levels

Instructions written at a parent level also apply to S85.511S.

› From S85 Injury of blood vessels at lower leg level
Excludes2
  • injury of blood vessels at ankle and foot level (S95.-)
Code also
  • any associated open wound (S81.-)

Broader instructions also apply from S80-S89 Injuries to the knee and lower leg and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 908.3Late effect of injury to blood vessel of head, neck, and extremitiesapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S85.511S

Is S85.511S billable?

Yes. S85.511S is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "S" at the end of S85.511S mean?

It is the 7th character for sequela. Per the official guidelines, use it for complications or conditions that arise as a direct result of the original condition.

Can S85.511S be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S85.511S as a principal diagnosis.

Is S85.511S a CC or MCC?

No. S85.511S is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S85.511S group to?

S85.511S is used in the MS-DRG v44.0 logic for MS-DRG 299 (Peripheral Vascular Disorders with MCC), MS-DRG 300 (Peripheral Vascular Disorders with CC) and MS-DRG 301 (Peripheral Vascular Disorders without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for S85.511S?

The CMS General Equivalence Mappings map S85.511S to ICD-9-CM 908.3.