Complete ICD-10-CM coding and documentation guide for icd-10 coding for muscle strain includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Muscle Strain
Use ICD-10 code S76.011A for strain of muscle, fascia and tendon of right thigh, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Muscle spasm
Use when muscle spasm is confirmed on palpation.
Electrical stimulation
Use when electrical stimulation is part of the treatment plan.
The ICD-10 code for a muscle strain varies by location and laterality, such as S76.011A for a right thigh strain, initial encounter.
Document the location, laterality, mechanism of injury, and encounter type. Include imaging findings if available to support the diagnosis.