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ICD-10 Guide
ICD-10 CodesS76.0

S76.0

Billable

Injury of muscle, fascia and tendon of hip

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/26/2025

Code Description

ICD-10 S76.0 is a billable code used to indicate a diagnosis of injury of muscle, fascia and tendon of hip.

Key Diagnostic Point:

Injuries to the muscle, fascia, and tendon of the hip can result from various traumatic events, including falls, sports injuries, or accidents. These injuries may involve strains, tears, or ruptures of the hip's soft tissues, which can lead to significant pain, swelling, and functional impairment. The hip joint is a complex structure that bears weight and allows for a wide range of motion, making it susceptible to injury. Common causes include hip fractures, femoral injuries, and hip dislocations, which may necessitate orthopedic trauma surgery. Treatment often involves rest, physical therapy, and in some cases, surgical intervention to repair damaged tissues. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes, as these injuries can vary widely in severity and impact on patient mobility and quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and type
  • Need for precise documentation of injury specifics
  • Differentiation from other hip-related codes
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to capture co-existing conditions
  • Misclassification of injury severity
  • Inconsistent use of related codes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes are essential for accurate coding.

Common Clinical Scenarios

Common scenarios include surgical repair of tendon tears or reconstruction following hip dislocations.

Billing Considerations

Ensure that all relevant anatomical details are documented, including the specific muscles or tendons involved.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and treatment plans are necessary.

Common Clinical Scenarios

Rehabilitation following hip injuries, including physical therapy protocols.

Billing Considerations

Document the patient's progress and response to therapy to support coding for ongoing treatment.

Coding Guidelines

Inclusion Criteria

Use S76.0 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics, including laterality and severity

Exclusion Criteria

Do NOT use S76.0 When
  • Exclude conditions that do not directly relate to muscle, fascia, or tendon injuries of the hip

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Arthroscopy, hip, surgical

Clinical Scenario

Used in cases of severe tendon injuries requiring surgical intervention.

Documentation Requirements

Operative reports detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specific techniques used.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, improving the accuracy of data collection and reimbursement processes. S76.0 provides a clear distinction between soft tissue injuries and fractures, which is crucial for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, improving the accuracy of data collection and reimbursement processes. S76.0 provides a clear distinction between soft tissue injuries and fractures, which is crucial for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S76.0 provides a clear distinction between soft tissue injuries and fractures, which is crucial for treatment planning.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of injuries does S76.0 cover?

S76.0 covers injuries to the muscle, fascia, and tendon of the hip, including strains, tears, and other soft tissue injuries.