S30.85AD: Superficial foreign body of flank, subsequent encounter

New code · FY2026

Billable: use this code on claims.

• New code, effective October 1, 2025 (FY2026).

Code breakdown

Coding notes

Inclusion terms (from S30.85)

• Splinter in the abdomen, lower back, pelvis and external genitals

Excludes2 (from S30)

• superficial injury of hip (S70.-)

7th character (from S30)

• The appropriate 7th character is to be added to each code from category S30

7th characters (category S30)

• A initial encounter
• D subsequent encounter
• S sequela

Medicare coverage

S30.85AD is listed as a covered diagnosis in 12 Medicare billing and coding articles:

• A52438 Billing and Coding: Tetanus Immunization
• A53057 Billing and Coding: Home Health Occupational Therapy
• A53058 Billing and Coding: Home Health Physical Therapy
• A53064 Billing and Coding: Outpatient Occupational Therapy
• A53065 Billing and Coding: Outpatient Physical Therapy
• A54767 Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
• A55909 Billing and Coding: Wound Care
• A56459 Billing and Coding: Debridement Services
• A56900 Billing and Coding: Immunizations
• A58565 Billing and Coding: Wound and Ulcer Care

…and 2 more. Check the coverage tool for your CPT code.

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All FY2026 ICD-10-CM changes

ICD-10-CM codes and descriptions are from the CMS and NCHS code files. Coverage is from the CMS Medicare Coverage Database billing and coding articles.