ICD-10 Guide

Hamstring Muscle Strain

ICD-10 Coding for Hamstring Muscle Strain(S76.312A)

PRIMARY SPECIALTYSports Medicine

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Hamstring Muscle Strain?

Essential facts and insights about Hamstring Muscle Strain

Key Clinical Considerations:

Sudden onset of pain in the back of the thigh
Swelling and bruising in the affected area
Difficulty in walking or straightening the leg

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history of activity leading to injury
Description of pain severity and location
Results of physical examination and any imaging studies

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 injuries
Alternative codes for related conditions such as tendonitis

Specialty Focus

Primary Specialty

Sports Medicine

Specialty Applications

Athletes, active individuals, and patients in rehabilitation settings
Sports medicine clinics and orthopedic practices

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 details of the mechanism of injury, symptoms, and physical exam findings.

Billing considerations?

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

Hamstring Muscle 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?

Hamstring Muscle 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?