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ICD-10 Guide
ICD-10 CodesS76.01

S76.01

Billable

Strain of muscle, fascia and tendon of hip

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

Code Description

ICD-10 S76.01 is a billable code used to indicate a diagnosis of strain of muscle, fascia and tendon of hip.

Key Diagnostic Point:

A strain of the muscle, fascia, or tendon of the hip is characterized by the overstretching or tearing of these soft tissues, often resulting from acute trauma or overuse. This condition can occur in various populations, particularly among athletes or individuals engaged in physical labor. Symptoms typically include localized pain, swelling, bruising, and limited range of motion in the hip joint. Strains can vary in severity from mild (grade I) to severe (grade III), with the latter involving complete tears of the muscle or tendon. Diagnosis is primarily clinical, supported by imaging studies such as MRI or ultrasound to assess the extent of the injury. Treatment often involves rest, ice, compression, elevation (RICE), physical therapy, and in some cases, surgical intervention may be necessary for severe strains. Understanding the nuances of hip strains is crucial, especially in the context of orthopedic trauma surgery, where differentiating between strains and more severe injuries like fractures or dislocations is essential for appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between strains and other hip injuries such as fractures or dislocations.
  • Variability in documentation quality regarding the severity of the strain.
  • Need for precise anatomical terminology to accurately describe the affected area.
  • Potential for co-existing conditions that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the severity of the strain.
  • Misclassification of the injury type (strain vs. tear).
  • Lack of follow-up documentation on treatment outcomes.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the injury mechanism, physical examination findings, and treatment plans.

Common Clinical Scenarios

Post-operative follow-up for hip strain repair, acute injury assessments in sports medicine.

Billing Considerations

Documentation must clearly differentiate between strains and other injuries to avoid coding errors.

Physical Therapy

Documentation Requirements

Progress notes detailing the patient's response to therapy and functional improvements.

Common Clinical Scenarios

Rehabilitation protocols for hip strains, assessments of range of motion and strength.

Billing Considerations

Therapists should document specific exercises and patient compliance to support coding.

Coding Guidelines

Inclusion Criteria

Use S76.01 When
  • According to ICD
  • 10 guidelines, S76
  • 01 should be used when the documentation specifies a strain of the muscle, fascia, or tendon of the hip
  • It is essential to ensure that the documentation supports the diagnosis and that the injury is not classified as a fracture or dislocation

Exclusion Criteria

Do NOT use S76.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in conjunction with S76.01 for rehabilitation of hip strains.

Documentation Requirements

Documentation must include the type and frequency of exercises performed.

Specialty Considerations

Physical therapists should ensure that the treatment plan aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of strains, improving the accuracy of data collection and reimbursement processes. S76.01 provides a clear distinction between different types of hip injuries, which is essential for effective treatment planning and outcome tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of strains, improving the accuracy of data collection and reimbursement processes. S76.01 provides a clear distinction between different types of hip injuries, which is essential for effective treatment planning and outcome tracking.

Reimbursement & Billing Impact

reimbursement processes. S76.01 provides a clear distinction between different types of hip injuries, which is essential for effective treatment planning and outcome tracking.

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 is the difference between a strain and a sprain?

A strain involves injury to muscles or tendons, while a sprain involves injury to ligaments. Accurate documentation is crucial for proper coding.