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Home/Diagnosis/ICD-10 Coding for Hamstring Strain

ICD-10 Coding for Hamstring Strain

S76.311A
S76.10XA

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

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

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

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

Primary ICD-10-CM Codes

Strain of muscle, fascia, and tendon of posterior muscle group at thigh level, right thigh, initial encounter

Billable Code
S76.311A
Billable

Diagnostic Criteria

clinical:
  • • MRI shows muscle fiber disruption in the posterior thigh.
documentation:
  • • Documented active knee extension deficit >15°.

Applicable To

  • • Acute strain of right hamstring

Important Notes

  • • Ensure documentation includes specific muscle group and laterality.

Strain of unspecified muscle, fascia, and tendon at thigh level, initial encounter

Non-Billable
S76.10XA
Non-Billable

Important Notes

  • • Use only when specific muscle group cannot be determined.
Ancillary Codes

Additional codes that may be used with this diagnosis

Y93.67

Activity, soccer

Use to specify the activity during which the injury occurred.

Frequently Asked Questions

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

The ICD-10 code for a hamstring strain is S76.3XX, which specifies a strain of the posterior muscle group at the thigh level. Ensure to document the specific muscle group and laterality for accurate coding.

How do you document a hamstring strain?

Document a hamstring strain by specifying the muscle group, laterality, mechanism of injury, and objective findings such as MRI results and active knee extension deficits.

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