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ICD-10 Guide
ICD-10 CodesS76.112

S76.112

Billable

Strain of left quadriceps muscle, fascia and tendon

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

Code Description

ICD-10 S76.112 is a billable code used to indicate a diagnosis of strain of left quadriceps muscle, fascia and tendon.

Key Diagnostic Point:

A strain of the left quadriceps muscle, fascia, and tendon refers to an injury characterized by the overstretching or tearing of the muscle fibers, fascia, or tendon associated with the quadriceps group located in the anterior thigh. This injury can occur due to acute trauma, such as falls or sports-related activities, or chronic overuse. The quadriceps muscle plays a crucial role in knee extension and stabilization of the hip joint. Symptoms typically include localized pain, swelling, bruising, and reduced range of motion. In cases of severe strain, there may be significant functional impairment, necessitating orthopedic evaluation. Treatment often involves rest, ice, compression, elevation (RICE), physical therapy, and in some cases, surgical intervention to repair torn tendons or fascia. Accurate coding is essential for proper management and reimbursement, particularly in the context of orthopedic trauma surgery, where associated injuries such as hip fractures or dislocations may complicate the clinical picture.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between strain and other types of muscle injuries.
  • Identifying associated injuries such as fractures or dislocations.
  • Documenting the severity and specific location of the strain.
  • Understanding the implications of concurrent orthopedic procedures.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the laterality of the injury.
  • Lack of clarity on associated injuries or conditions.
  • Insufficient follow-up documentation on treatment outcomes.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and follow-up assessments.

Common Clinical Scenarios

Post-operative care following repair of quadriceps tendon injuries, management of strains in athletes.

Billing Considerations

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

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation progress.

Common Clinical Scenarios

Rehabilitation following quadriceps strain, evaluation of strength and range of motion.

Billing Considerations

Documenting the patient's response to therapy and any modifications to the treatment plan.

Coding Guidelines

Inclusion Criteria

Use S76.112 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the documentation supports a diagnosis of strain specifically affecting the left quadriceps muscle, fascia, and tendon

Exclusion Criteria

Do NOT use S76.112 When
  • Exclude codes for other types of muscle injuries or conditions affecting different muscle groups

Related ICD-10 Codes

Related CPT Codes

27415CPT Code

Repair of quadriceps tendon

Clinical Scenario

Used when surgical intervention is required for a severe strain or tear.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the extent of the injury and the surgical approach.

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 diagnoses and treatment plans. S76.112 provides granularity that was not available in ICD-9, facilitating better tracking of injury patterns and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of muscle strains, improving the accuracy of diagnoses and treatment plans. S76.112 provides granularity that was not available in ICD-9, facilitating better tracking of injury patterns and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of muscle strains, improving the accuracy of diagnoses and treatment plans. S76.112 provides granularity that was not available in ICD-9, facilitating better tracking of injury patterns and outcomes.

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 tear?

A strain refers to overstretching or minor tearing of muscle fibers, while a tear indicates a more severe injury involving a complete rupture of the muscle or tendon.