ICD-10-CM Diagnosis Code S30.861S - Insect bite (nonvenomous) of abdominal wall, sequela (original) (raw)
ICD List 2025-2026 Edition
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- 2026 ICD-10-CM Code S30.861S
Insect bite (nonvenomous) of abdominal wall, sequela
ICD-10-CM Code:
S30.861S
ICD-10 Code for:
Insect bite (nonvenomous) of abdominal wall, sequela
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:
S30.861S is a billable diagnosis code used to specify a medical diagnosis of insect bite (nonvenomous) of abdominal wall, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S30.861S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like insect bite (nonvenomous) of abdominal wall. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
- Code Information
- Approximate Synonyms
- Clinical Classification
- Coding Guidelines
- Replaced Code
- Tabular List of Diseases and Injuries
- Diagnostic Related Groups Mapping
- Present on Admission (POA)
- Convert to ICD-9 Code
- Patient Education
- Other Codes Used Similar Conditions
- Code History
- Injury, poisoning and certain other consequences of external causes
S00–T88
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Animal bite of abdomen
- Animal bite of abdomen
- Animal bite of abdomen
- Animal bite of abdomen
- Animal bite of abdomen
- Animal bite of abdomen
- Animal bite of groin
- Animal bite of groin
- Animal bite of groin
- Infected insect bite of pelvic region
- Insect bite, nonvenomous, of abdominal wall
- Insect bite, nonvenomous, of abdominal wall
- Insect bite, nonvenomous, of abdominal wall
- Insect bite, nonvenomous, of flank
- Insect bite, nonvenomous, of flank
- Insect bite, nonvenomous, of groin
- Insect bite, nonvenomous, of groin
- Nonvenomous insect bite of abdominal wall with infection
- Nonvenomous insect bite of abdominal wall without infection
- Nonvenomous insect bite of flank with infection
- Nonvenomous insect bite of groin with infection
- Nonvenomous insect bite of groin without infection
- Nonvenomous insect bite of lower limb without infection
- Nonvenomous insect bite of pelvis with infection
- Nonvenomous insect bite of trunk without infection
- Nonvenomous insect bite of trunk without infection
- Superficial injury of abdominal wall without infection
- Superficial injury of abdominal wall without infection
- Superficial injury of flank with infection
- Superficial injury of groin with infection
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
CCSR Code: INJ073
Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
The appropriate 7th character is to be added to each code from block Superficial injury of abdomen, lower back, pelvis and external genitals (S30). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
This code was replaced in the 2026 ICD-10-CM code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2025. This code was replaced for the FY 2026 (October 1, 2025 - September 30, 2026).
- S30.86AS - Insect bite (nonvenomous) of flank, sequela
- S30.86AS - Insect bite (nonvenomous) of flank, sequela
S30.861S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
POA Indicator: Y
Reason: Diagnosis was present at time of inpatient admission.
CMS Pays CC/MCC DRG? YES
POA Indicator: N
Reason: Diagnosis was not present at time of inpatient admission.
CMS Pays CC/MCC DRG? NO
POA Indicator: U
Reason: Documentation insufficient to determine if the condition was present at the time of inpatient admission.
CMS Pays CC/MCC DRG? NO
POA Indicator: W
Reason: Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.
CMS Pays CC/MCC DRG? YES
POA Indicator: 1
Reason: Unreported/Not used - Exempt from POA reporting.
CMS Pays CC/MCC DRG? NO
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
ICD-9-CM: 906.2
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Insect Bites and Stings
Most insect bites are harmless, though they sometimes cause discomfort. Bee, wasp, and hornet stings and fire ant bites usually hurt. Mosquito and flea bites usually itch. Insects can also spread diseases. In the United States, some mosquitoes spread West Nile virus. Travelers outside the United States may be at risk for malaria and other infections.
To prevent insect bites and their complications:
- Don't bother insects
- Use insect repellant
- Wear protective clothing
- Be careful when you eat outside because food attracts insects
- If you know you have severe allergic reactions to insect bites and stings (such as anaphylaxis), carry an emergency epinephrine kit
FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026
FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
