What is the ICD-10 code for a hamstring strain?

The ICD-10 code for a hamstring strain is S76.3XX, which specifies a strain of the posterior muscle group at the thigh level. Ensure to document the specific muscle group and laterality for accurate coding.

How do you document a hamstring strain?

Document a hamstring strain by specifying the muscle group, laterality, mechanism of injury, and objective findings such as MRI results and active knee extension deficits.

ICD-10 Coding for Hamstring Strain(S76.311A, M66.851, S76.0)

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Learn about ICD-10 coding for hamstring strains, including code S76.3XX, documentation requirements, and clinical validation criteria for accurate medical billing.

Also known as:

Pulled HamstringHamstring Tear

Related ICD-10 Code Ranges

Complete code families applicable to Hamstring Strain

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

Code	Description	When to Use	Key Documentation
S76.311A	Strain of muscle, fascia, and tendon of posterior muscle group at thigh level, right thigh, initial encounter	Use for initial encounter of right posterior thigh muscle strain confirmed by clinical and imaging findings.	MRI confirmation of muscle fiber disruption Active knee extension deficit >15°

Primary ICD-10-CM Codes

Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter

S76.311ABillable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Spontaneous rupture of tendon, right thighM66.851

Use when imaging confirms tendon rupture without trauma.

Documentation & Coding Risks

Avoid these common issues when documenting Hamstring Strain.

Failure to document laterality

Impact

Clinical: May lead to incorrect treatment planning., Regulatory: Non-compliance with ICD-10 coding rules., Financial: Potential for denied claims due to lack of specificity.

Mitigation

Always include laterality in clinical notes, Use templates that prompt for laterality

Using S76.10XA when posterior group is documented

Impact

Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines for specificity., Data Quality: Decreases accuracy of clinical data.

Mitigation

Query provider for specific muscle group involvement.

Specificity of Muscle Group Coding

Impact

Audits may target lack of specificity in muscle group coding.

Mitigation

Ensure all documentation specifies the exact muscle group and laterality.

Frequently Asked Questions

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

Primary Code

S76.311A

Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter

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ICD-10 codes7

Coding risks3

FAQs2

ICD-10 Coding for Hamstring Strain(S76.311A, M66.851, S76.0)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for a hamstring strain?

How do you document a hamstring strain?

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