ICD-10-CM 2027 diagnosis code
S86.812SStrain of other muscle(s) and tendon(s) at lower leg level, left leg, sequela
S86.812S is a valid, billable ICD-10-CM code for strain of other muscle(s) and tendon(s) at lower leg level, left leg, sequela. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Strain of musc/tend at lower leg level, left leg, sequela
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 S86.812S
S86.812S is the ICD-10-CM diagnosis code for strain of other muscle(s) and tendon(s) at lower leg level, left leg, sequela. It belongs to category S86 (injury of muscle, fascia and tendon 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 562 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC, relative weight 1.398) and DRG 563 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC, relative weight 0.8985), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), 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 905.7 (late effect of sprain and strain without mention of tendon injury).
7th character
Ssequela
Other encounter types for S86.812:
Notes that apply from higher levels
Instructions written at a parent level also apply to S86.812S.
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.
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue
ICD-9-CM equivalent
Converter →- 905.7Late effect of sprain and strain without mention of tendon injuryapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about S86.812S
Is S86.812S billable?
- Yes. S86.812S 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 S86.812S 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 S86.812S be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict S86.812S as a principal diagnosis.
Is S86.812S a CC or MCC?
- No. S86.812S is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does S86.812S group to?
- S86.812S is used in the MS-DRG v44.0 logic for MS-DRG 562 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC) and MS-DRG 563 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without 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 S86.812S?
- The CMS General Equivalence Mappings map S86.812S to ICD-9-CM 905.7.