ICD-10 Guide

Left Hamstring Strain

ICD-10 Coding for Left Hamstring Strain(S76.312A, S76.312D)

PRIMARY SPECIALTYSports Medicine

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Left Hamstring Strain?

Essential facts and insights about Left Hamstring Strain

Key Clinical Considerations:

Pain in the posterior thigh, swelling, bruising, and difficulty in extending the knee or flexing the hip.
MRI or ultrasound may show muscle tears or edema.
Tenderness on palpation of the hamstring muscles, decreased range of motion, and strength deficits.

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history including mechanism of injury, severity of symptoms, and previous injuries.
Use of terms like 'strain', 'tear', and 'grade' to specify the severity.
Examples include detailed descriptions of the injury, treatment plan, and follow-up assessments.

Coding Guidelines

Usage Guidelines & Examples

Follow guidelines for coding muscle strains to avoid upcoding or downcoding.
Common errors include misclassifying the grade of the strain.

Code Exclusions

Important Exclusions

Complete muscle tears, other muscle strains in the same region, and conditions like sciatica.
Alternative codes for right hamstring strain or unspecified hamstring injuries.

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 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 detailed patient history, physical exam findings, and treatment plans.

Billing considerations?

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

Left 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?

Left 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?