ICD-10-CM Billable Code

S76.219

Strain of adductor muscle, fascia and tendon of unspecified thigh

Clinical Classification Guidelines

Medical Intelligence & Overview

A strain of the adductor muscles, fascia, and tendons in the thigh is an injury that occurs when these tissues are overstretched or torn. This type of injury often affects athletes or individuals who participate in physical activities involving sudden movements or intense leg actions. The adductor muscle group, located on the inner thigh, is responsible for pulling the leg inward. Damage to these muscles can cause pain, swelling, and limited mobility, impacting daily activities and athletic performance.

Causes & Symptoms

Clinical Causes: Sudden stops or changes in direction during sports such as soccer, hockey, basketball, or tennis Overextension of the thigh during physical activity Rapid acceleration or deceleration movements Insufficient warm-up before exercise Weakness or imbalance in thigh muscles Increased physical activity without proper conditioning Trauma or direct blow to the inner thigh

Key Symptoms: Pain along the inner thigh or groin area that worsens with movement Tenderness or soreness in the affected region Swelling and discoloration in the thigh Muscle weakness or difficulty in adduction movements Limited range of motion in the hip joint A feeling of tightness or pulling in the inner thigh Possible muscle spasms or cramping

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination where a healthcare provider assesses pain, tenderness, and range of motion. The provider may perform specific tests to identify the injury site and severity. Imaging techniques like MRI or ultrasound can be used if detailed assessment is necessary to rule out other injuries or confirm the extent of muscle or tendon damage.

Treatment Protocols: Management of a thigh adductor strain generally includes the following approaches:

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 S76.219 a billable ICD-10 code?
Yes, S76.219 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S76.219?
Clinical documentation must specify the nature of Strain of adductor muscle, fascia and tendon of unspecified thigh and any associated comorbidities for accurate reporting.

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