ICD-10 Guide

Right Hamstring Strain

ICD-10 Coding for Right Hamstring Strain(S76.311A, S76.311D)

PRIMARY SPECIALTYSports Medicine

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Right Hamstring Strain?

Essential facts and insights about Right Hamstring Strain

Key Clinical Considerations:

Pain in the posterior thigh, swelling, bruising, and limited range of motion.
MRI or ultrasound may show muscle tears or edema.
Tenderness upon palpation of the hamstring, weakness during resisted knee flexion.

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history, mechanism of injury, physical exam findings, and treatment plan.
Use of terms like 'strain', 'tear', and 'muscle injury'.
Example: 'Patient presents with a grade II right hamstring strain following sprinting.'

Coding Guidelines

Usage Guidelines & Examples

Follow guidelines for muscle strain coding; avoid using codes for unrelated injuries.
Common errors include misclassifying the severity of the strain.

Code Exclusions

Important Exclusions

Complete muscle tears, other thigh muscle strains, and conditions like sciatica.
Alternative codes for related injuries should be avoided unless specified.

Specialty Focus

Primary Specialty

Sports Medicine

Specialty Applications

Athletes, active individuals, and patients with a history of hamstring injuries.
Sports medicine clinics, physical therapy centers, and urgent care facilities.

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 history, physical exam findings, and treatment plan.

Billing considerations?

Ensure accurate coding to reflect the severity and specifics of the injury.

Right Hamstring Strain

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?

Right Hamstring Strain

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?