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ICD-10 Coding for Gluteus Medius Tear(S76.311D, M25.559, M66.3)

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Learn about the ICD-10 coding for gluteus medius tears, including primary and differential codes, documentation requirements, and common coding pitfalls.

Also known as:
Hip Abductor TearGluteal Tendon Tear
Related ICD-10 Code Ranges

Complete code families applicable to Gluteus Medius Tear

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
S76.311DStrain of muscle, fascia and tendon of right hip, subsequent encounter
Primary ICD-10-CM Codes
Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, subsequent encounter
S76.311DBillable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Trochanteric bursitisM70.60
Strain of muscle, fascia and tendon of right hip, subsequent encounterS76.311D

Documentation & Coding Risks

Avoid these common issues when documenting Gluteus Medius Tear.

Omitting laterality in documentation

Impact

Clinical: Leads to incomplete clinical records., Regulatory: May trigger audits for incomplete documentation., Financial: Can result in claim denials or delays.

Mitigation

Always document right or left side in clinical notes., Verify laterality in imaging reports.

Confusing strain with laceration codes

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification may result in compliance audits., Data Quality: Affects accuracy of medical records and data reporting.

Mitigation

Ensure documentation specifies the tear as a strain or degenerative tear, not a laceration.

Incorrect coding of tendon tears

Impact

Misclassification of degenerative tears as traumatic.

Mitigation

Ensure documentation clearly distinguishes between traumatic and degenerative tears.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with S76.311D.