S30.86AS — Insect bite (nonvenomous) of flank, sequela
S30.86AS is a billable, specific ICD-10-CM code for insect bite (nonvenomous) of flank, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S30
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S30.86AS does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S30.86AS is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52438Billing and Coding: Tetanus Immunization
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A55909Billing and Coding: Wound Care
- A56459Billing and Coding: Debridement Services
Code history
What changed, and when. Derived by diffing consecutive CMS release files — which matters when you are defending a code assigned under an earlier edition.
- addedFY2024-FY2026
Insect bite (nonvenomous) of flank, sequela
Related codes at this level
Codes that share S30.86A. If S30.86AS is not quite right, the correct code is usually one of these.
Questions about S30.86AS
- Is S30.86AS a billable ICD-10-CM code?
- Yes. S30.86AS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S30.86AS sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).