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S85.311 ICD-10-CM Code: Laceration of greater saphenous vein at lower leg level, right leg

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the knee and lower leg (S80-S89)

S85.311

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Laceration of greater saphenous vein at lower leg level, right leg

Laceration of greater saphenous vein at lower leg level, right leg

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S85.3Injury of greater saphenous vein at lower leg level
S85.31Laceration of greater saphenous vein at lower leg level
S85.311Laceration of greater saphenous vein at lower leg level, right leg

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S85.311 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S85.311 in this effective period.

Related Child Codes

Official
S85.311ALaceration of greater saphenous vein at lower leg level, right leg, initial encounter
S85.311DLaceration of greater saphenous vein at lower leg level, right leg, subsequent encounter
S85.311SLaceration of greater saphenous vein at lower leg level, right leg, sequela

Includes

Official

ICD-10-CM does not list Includes notes for S85.311 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S85.311 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S85.311 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S85.311 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S85.311 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S85.311 is the ICD-10-CM diagnosis code for laceration of greater saphenous vein at lower leg level, right leg. S85.311 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the knee and lower leg (s80-s89).

Header codes like S85.311 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S85.311's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S85.311 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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