ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS76.1

S76.1

Billable

Injury of quadriceps muscle, fascia and tendon

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

Code Description

ICD-10 S76.1 is a billable code used to indicate a diagnosis of injury of quadriceps muscle, fascia and tendon.

Key Diagnostic Point:

The S76.1 code refers to injuries involving the quadriceps muscle, fascia, and tendon, which are critical components of the knee and hip joint function. These injuries can occur due to acute trauma, such as falls, sports injuries, or accidents, leading to strains, tears, or ruptures of the quadriceps muscle. In the context of hip fractures or femoral injuries, the quadriceps may be affected due to the mechanism of injury, particularly in cases where the hip is dislocated or fractured. The quadriceps muscle plays a vital role in stabilizing the knee and facilitating movement, making injuries to this area significant in orthopedic trauma. Surgical interventions may be required to repair severe injuries, and rehabilitation is often necessary to restore function. Accurate coding of these injuries is essential for appropriate treatment planning and reimbursement, as they can lead to complications if not properly managed. The complexity of these injuries can vary based on the extent of damage and associated conditions, necessitating thorough documentation and understanding of the patient's clinical scenario.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and type (strain, tear, rupture)
  • Need for detailed documentation of mechanism of injury
  • Potential for associated injuries (e.g., hip fractures, dislocations)
  • Variations in treatment approaches (surgical vs. conservative)

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to link the injury to the mechanism of trauma
  • Misclassification of injury severity
  • Lack of follow-up documentation on treatment outcomes

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

Surgical repair of quadriceps tendon ruptures, management of hip fractures with associated quadriceps injuries.

Billing Considerations

Ensure clear documentation of the mechanism of injury and any associated procedures performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Rehabilitation following quadriceps injuries, post-operative recovery from surgical interventions.

Billing Considerations

Documenting the impact of the injury on daily activities and rehabilitation goals is crucial.

Coding Guidelines

Inclusion Criteria

Use S76.1 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's nature, location, and severity
  • Include any relevant external cause codes to provide context for the injury

Exclusion Criteria

Do NOT use S76.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27301CPT Code

Repair of quadriceps tendon

Clinical Scenario

Used in cases of complete quadriceps tendon rupture requiring surgical intervention.

Documentation Requirements

Operative report detailing the procedure, findings, and post-operative care plan.

Specialty Considerations

Orthopedic surgeons must document the mechanism of injury and any associated procedures performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of quadriceps injuries, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better patient management and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of quadriceps injuries, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better patient management and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 are classified under S76.1?

S76.1 includes injuries such as strains, tears, and ruptures of the quadriceps muscle, fascia, and tendon, typically resulting from trauma or overuse.