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Home/Diagnosis/ICD-10 Coding for Hamstring Pull

ICD-10 Coding for Hamstring Pull

S76.311A
S76.01XA

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

Also Known as:
Hamstring Strain
Pulled Hamstring
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Key Information: ICD-10 Coding for Hamstring Pull

Essential facts and insights about ICD-10 Coding for Hamstring Pull

Use ICD-10 code S76.311A for strain of posterior thigh muscle group, right thigh, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of posterior thigh muscle group, right thigh, initial encounter

Billable Code
S76.311A
Billable

Diagnostic Criteria

  • • Presence of acute posterior thigh pain and MRI confirmation of muscle tear.

Applicable To

  • • Acute hamstring strain
  • • Grade 1-3 hamstring strain

Important Notes

  • • Ensure documentation specifies laterality and encounter type.

Strain of muscle, fascia and tendon at hip level, initial encounter

Non-Billable
S76.01XA
Non-Billable

Applicable To

  • • Proximal hamstring strain

Important Notes

  • • Differentiate between hip and thigh strains based on location.
Ancillary Codes

Additional codes that may be used with this diagnosis

W76.2XXA

Overexertion/strenuous movement

Use to indicate the activity leading to the injury, such as sprinting.

Z79.899

Long-term (current) use of other medications

Use if the patient is on long-term NSAID therapy.

Frequently Asked Questions

What is the ICD-10 code for a hamstring pull?

The ICD-10 code for a hamstring pull is S76.311A for a right thigh strain during the initial encounter.

How do you code a hamstring strain?

Code a hamstring strain using S76.311A for right thigh or S76.312A for left thigh, specifying laterality and encounter type.

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