ICD-10-CM Billable Code

S76.111

Strain of right quadriceps muscle, fascia and tendon

Clinical Classification Guidelines

Medical Intelligence & Overview

A strain of the right quadriceps muscle involves overstretching or tearing of the muscle fibers in the front thigh area. The quadriceps is a large muscle group responsible for extending the knee and is crucial for activities like walking, running, and jumping. An injury to this muscle can occur during sports, physical activities, or accidental falls, leading to pain, swelling, and limited mobility in the affected leg.

Causes & Symptoms

Clinical Causes: Sudden putting excessive force on the thigh during physical activity Rapid acceleration or deceleration movements while running or jumping Direct trauma or impact to the front of the thigh Overuse or repetitive strain from frequent activity without adequate rest Inadequate warm-up before exercise or sports Muscle fatigue or weakness that predisposes to injury

Key Symptoms: Sudden sharp pain in the front of the thigh Swelling and tenderness over the quadriceps area Muscle weakness making it difficult to straighten the knee or walk properly Limited range of motion in the knee joint Bruising or discoloration in severe cases Muscle spasms or cramping in the thigh

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a healthcare provider performing a physical examination to assess pain, swelling, and range of motion. Imaging tests such as ultrasound or MRI may be ordered to determine the extent of muscle fiber tearing and to rule out other injuries like fractures or ligament damage. The healthcare provider may ask about recent activities that could have caused the injury and any previous thigh injuries.

Treatment Protocols: Treatment generally focuses on allowing the muscle to heal while reducing pain and swelling. Common approaches 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 S76.111 a billable ICD-10 code?
Yes, S76.111 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S76.111?
Clinical documentation must specify the nature of Strain of right quadriceps muscle, fascia and tendon and any associated comorbidities for accurate reporting.

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