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Home/Diagnosis/ICD-10 Coding for Gluteus Medius Tear

ICD-10 Coding for Gluteus Medius Tear

S76.311D
M66.358

Complete ICD-10-CM coding and documentation guide for icd-10 coding for gluteus medius tear includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Hip Abductor Tear
Gluteal Tendon Tear
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Key Information: ICD-10 Coding for Gluteus Medius Tear

Essential facts and insights about ICD-10 Coding for Gluteus Medius Tear

Use ICD-10 code S76.311D for strain of muscle, fascia and tendon of right hip, subsequent encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of muscle, fascia and tendon of right hip, subsequent encounter

Billable Code
S76.311D
Billable

Diagnostic Criteria

  • • MRI-confirmed tear
  • • Positive Trendelenburg sign

Applicable To

  • • Degenerative tear of right gluteus medius

Important Notes

  • • Ensure documentation specifies the tear as degenerative and not traumatic.

Spontaneous rupture of other tendons, hip

Non-Billable
M66.358
Non-Billable

Diagnostic Criteria

  • • MRI shows tendon degeneration
  • • No history of acute trauma

Applicable To

  • • Atraumatic tear of gluteus medius

Important Notes

  • • Document the absence of trauma to justify the use of M66.358.
Ancillary Codes

Additional codes that may be used with this diagnosis

20610

Arthrocentesis, aspiration and/or injection into a joint

Use for diagnostic or therapeutic joint injections.

M25.559

Pain in unspecified hip

Document associated hip pain when present.

Frequently Asked Questions

What is the ICD-10 code for a gluteus medius tear?

The ICD-10 code for a gluteus medius tear is S76.311D for a right hip strain, subsequent encounter, and M66.358 for a spontaneous rupture of the hip tendon.

How is a gluteus medius tear diagnosed?

A gluteus medius tear is diagnosed through clinical examination and confirmed with imaging, such as MRI, which shows tendon discontinuity and T2 hyperintensity.

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