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Home/Diagnosis/ICD-10 Coding for Hamstring Tear

ICD-10 Coding for Hamstring Tear

S76.311A
S76.312A

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

Also Known as:
Hamstring Strain
Posterior Thigh Muscle Tear
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Key Information: ICD-10 Coding for Hamstring Tear

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

Use ICD-10 code S76.311A for strain of muscle, fascia and tendon of the 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 the posterior muscle group at thigh level, right thigh, initial encounter

Billable Code
S76.311A
Billable

Diagnostic Criteria

clinical:
  • • Presence of acute pain and MRI confirmation of tear
coding:
  • • Initial encounter for right thigh injury

Applicable To

  • • Acute hamstring tear
  • • Right thigh muscle strain

Important Notes

  • • Ensure documentation specifies the exact muscle involved and the encounter type.

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

Billable Code
S76.312A
Billable

Applicable To

  • • Acute hamstring tear
  • • Left thigh muscle strain

Important Notes

  • • Ensure documentation specifies the exact muscle involved and the encounter type.
Ancillary Codes

Additional codes that may be used with this diagnosis

Y93.44

Activity, sports

Use to specify the activity during which the injury occurred.

Frequently Asked Questions

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

The ICD-10 code for a hamstring tear is S76.311A for the right thigh and S76.312A for the left thigh, used for initial encounters.

How do you code a hamstring tear in ICD-10?

Code a hamstring tear using S76.311A for the right thigh or S76.312A for the left thigh, ensuring to specify the encounter type and laterality.

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