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ICD-10 Guide
ICD-10 CodesS76.111

S76.111

Billable

Strain of right quadriceps muscle, fascia and tendon

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

Code Description

ICD-10 S76.111 is a billable code used to indicate a diagnosis of strain of right quadriceps muscle, fascia and tendon.

Key Diagnostic Point:

A strain of the right quadriceps muscle, fascia, and tendon refers to an injury characterized by the overstretching or tearing of muscle fibers in the quadriceps group located at the front of the thigh. This injury can occur due to acute trauma, such as a fall or a sudden forceful movement, or from chronic overuse, particularly in athletes or individuals engaged in repetitive activities. Symptoms typically include localized pain, swelling, bruising, and reduced range of motion in the knee joint. The quadriceps muscle plays a crucial role in knee extension and stabilization during activities such as walking, running, and jumping. In the context of orthopedic trauma, this strain may be associated with other injuries, including hip fractures or dislocations, particularly in older adults or those involved in high-impact sports. Treatment often involves rest, ice, compression, elevation (RICE), physical therapy, and in severe cases, surgical intervention to repair the damaged muscle or tendon. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking the incidence of such injuries in clinical practice.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between strain and other types of muscle injuries.
  • Identifying the specific location and severity of the strain.
  • Documenting associated injuries, such as fractures or dislocations.
  • Understanding the patient's activity level and its impact on the injury.

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. sprain).
  • Lack of follow-up documentation on treatment and recovery.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, physical examination findings, and treatment plan.

Common Clinical Scenarios

Post-operative follow-up for quadriceps repair, management of acute strains in athletes.

Billing Considerations

Ensure accurate documentation of any surgical interventions or rehabilitation protocols.

Physical Therapy

Documentation Requirements

Progress notes detailing treatment modalities, patient response, and functional outcomes.

Common Clinical Scenarios

Rehabilitation following a quadriceps strain, assessment of strength and range of motion.

Billing Considerations

Document specific exercises and patient adherence to the rehabilitation program.

Coding Guidelines

Inclusion Criteria

Use S76.111 When
  • According to ICD
  • 10 guidelines, S76
  • 111 should be used when the strain is specifically identified as affecting the right quadriceps muscle
  • It is important to document the nature of the injury and any associated conditions to ensure accurate coding

Exclusion Criteria

Do NOT use S76.111 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used for rehabilitation following a quadriceps strain.

Documentation Requirements

Document specific exercises performed and patient progress.

Specialty Considerations

Physical therapists should note the patient's functional limitations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of muscle strains, improving the accuracy of data collection and reimbursement processes. S76.111 provides a clear distinction for right quadriceps strains, which aids in clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of muscle strains, improving the accuracy of data collection and reimbursement processes. S76.111 provides a clear distinction for right quadriceps strains, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. S76.111 provides a clear distinction for right quadriceps strains, which aids in clinical management and research.

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 refers to injury to ligaments. Accurate documentation is essential to differentiate between the two for coding purposes.