S86.202A: Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter

S86.202A, unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter, is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 7 HCPCS Level II codes, including G0127 (Trimming of dystrophic nails, any number), G0151 (Services performed by a qualified physical therapist in…), G0157 (Services performed by a qualified physical therapist…). The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.

HCPCS Level II codes with S86.202A as a covered diagnosis

CodeDescriptionMedicare coverageDMEPOS fee 2026 (state range)Articles listing it
G0127Trimming of dystrophic nails, any numberSpecial coverage instructions apply—2
G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutesCarrier judgment—1
G0157Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutesCarrier judgment—1
G0159Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutesCarrier judgment—1
G0329Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of careCarrier judgment—1
G2168Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutesCarrier judgment—1
L1972Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, off-the shelfCarrier judgment—1

Medicare policy articles listing S86.202A

A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.

Other S86 diagnoses (Injury of muscle, fascia and tendon at lower leg level)

Frequently asked questions

Does Medicare cover S86.202A (Unspecified injury of muscle(s) and tendon(s) of anterior…)?

Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list S86.202A as a covered diagnosis for 7 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.

Which HCPCS codes can be billed with ICD-10 S86.202A?

The Level II codes from the policies most specific to this diagnosis are G0127 (Trimming of dystrophic nails, any number, 2 articles); G0151 (Services performed by a qualified physical therapist in…, 1 article); G0157 (Services performed by a qualified physical therapist…, 1 article); G0159 (Services performed by a qualified physical therapist, in…, 1 article); G0329 (Electromagnetic therapy, to one or more areas for chronic…, 1 article). Code choice depends on the item supplied; check each code's descriptor.

Which Medicare policy articles list S86.202A?

A52996 (Billing and Coding: Routine Foot Care); A56232 (Billing and Coding: Foot Care); A53058 (Billing and Coding: Home Health Physical Therapy).

What is ICD-10-CM code S86.202A?

S86.202A is the ICD-10-CM code for unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter, in category S86 (Injury of muscle, fascia and tendon at lower leg level), chapter 19: Injury, poisoning and other consequences of external causes.

Next steps

Compiled by Caduvo from public CMS (Medicare) records, ICD-10-CM FY2026, HCPCS release October 2026, 2026 fee schedule (non-rural state fees). Not reviewed or endorsed by CMS. Not billing or legal advice. Report an error. Data and corrections policy.

Chapter 19: Injury, poisoning and other consequences of external causes · All diagnoses · HCPCS lookup