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v1.0.0
ICD-10 Guide
DiagnosesHamstring Injury

Hamstring Injury

ICD-10 Coding for Hamstring Injury(S76.311A, S76.301A)

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

Diagnosis Overview

What is Hamstring Injury?
Essential facts and insights about Hamstring Injury

Key Clinical Considerations:

  • Pain in the back of the thigh
  • Swelling or bruising in the hamstring area
  • Difficulty walking or straightening the leg
  • MRI or ultrasound showing muscle tear or strain
  • Positive Thompson test indicating hamstring involvement

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of injury mechanism
  • Detailed description of symptoms and physical findings
  • Results of imaging studies
  • Assessment of functional limitations
  • Specific terminology such as 'grade I, II, or III strain'

Coding Guidelines

Usage Guidelines & Examples

  • Use S76.0 for general hamstring strains; S76.1 for specific hamstring muscle injuries.
  • Common errors include using incorrect strain grades or failing to specify the affected muscle.

Code Exclusions

Important Exclusions

  • Complete muscle tears requiring surgical intervention
  • Other thigh injuries such as quadriceps strains

Related ICD-10 Codes

Primary Codes
S76.0
Strain of muscle, fascia and tendon of the back of the thigh
S76.1
Strain of muscle, fascia and tendon of the hamstring
Ancillary Codes
M62.81
Differential Codes
G57.0
S76.311A

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Sports Medicine

Specialty Applications

  • Athletes in sports with high sprinting demands
  • Patients in rehabilitation 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 mechanism of injury, symptoms, physical exam findings, and imaging results.

Billing considerations?

Ensure accurate coding based on severity and type of strain for appropriate reimbursement.