ICD-10-CM Billable Code

S76.39

Other specified injury of muscle, fascia and tendon of the posterior muscle group at thigh level

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code S76.39 refers to a specific type of injury involving the muscles, fascia, and tendons located in the posterior (back) group of thigh muscles. This category encompasses various injuries that affect the structures responsible for movements such as extension, flexion, and stabilization of the thigh and lower limb. Such injuries can result from different causes, leading to pain, swelling, and limited mobility in the affected thigh.

Causes & Symptoms

Clinical Causes: Sudden trauma or impact during sports activities or accidents Overstretching or tearing due to strenuous physical activity Muscle fatigue from repetitive movements Direct blows or hits to the back of the thigh Rapid acceleration or deceleration movements during sports Falls or collisions that exert force on the posterior thigh

Key Symptoms: Pain in the back of the thigh, especially during movement or activity Swelling and tenderness in the affected area Muscle weakness or loss of strength in the thigh Limited range of motion or difficulty in extending or flexing the leg Bruising or discoloration over the injury site A feeling of muscle tightness or stiffness Possible visible deformity if the injury involves a tear or severe damage

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination by a healthcare professional, who assesses swelling, tenderness, range of motion, and strength. Imaging tests such as ultrasound or MRI may be used to confirm the extent and specific location of the injury, especially in cases of suspected tears or muscle rupture. Proper diagnosis helps in determining the most effective treatment plan and monitoring recovery progress.

Treatment Protocols: Treatment approaches focus on promoting healing, reducing pain, and restoring function. Common interventions include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S76.39 a billable ICD-10 code?
Yes, S76.39 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S76.39?
Clinical documentation must specify the nature of Other specified injury of muscle, fascia and tendon of the posterior muscle group at thigh level and any associated comorbidities for accurate reporting.

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