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ICD-10 Guide
DiagnosesLeft Groin Pain

Left Groin Pain

ICD-10 Coding for Left Groin Pain(R10.812, S76.811A)

PRIMARY SPECIALTYSports Medicine
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Left Groin Pain?
Essential facts and insights about Left Groin Pain

Key Clinical Considerations:

  • Localized pain in the left groin area, possible radiating pain to the thigh or abdomen
  • MRI or ultrasound may show soft tissue injuries, hernias, or hip joint abnormalities
  • Tenderness upon palpation of the groin, limited range of motion in the hip, positive Thomas test

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including onset, duration, and nature of pain; physical exam findings; diagnostic test results
  • Use of specific terminology such as 'left groin pain', 'muscle strain', 'hip impingement'
  • Examples include detailed descriptions of pain characteristics, functional limitations, and treatment plans

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for differentiating between acute and chronic conditions.
  • Common errors include misclassifying the site of pain or failing to document associated symptoms.

Code Exclusions

Important Exclusions

  • Conditions such as hernias, fractures, or referred pain from abdominal organs
  • Alternative codes for right groin pain or unspecified groin pain

Related ICD-10 Codes

Primary Codes
M25.55
Pain in left hip
S73.191A
Strain of muscle, fascia and tendon of left hip
M62.81
Muscle strain, unspecified
Ancillary Codes
R10.814
Differential Codes
M25.562
R10.812
R10.812
if no specific injury is confirmed.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Sports Medicine

Specialty Applications

  • Athletes, active individuals, and patients with a history of hip or groin injuries
  • Sports medicine clinics, orthopedic practices, and physical therapy settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, physical exam findings, and results of any imaging studies.

Billing considerations?

Ensure accurate coding to reflect the specific diagnosis and any associated procedures.