ICD Code S76.011A

ICD code S76.011A is a diagnosis for a strain of the muscle, fascia, and tendon in the right hip, documented during the patient's initial encounter for this injury.

1. Patient presents with acute pain localized to the right hip region following a specific incident or injury.

2. Physical examination reveals tenderness, swelling, or bruising over the right hip.

3. Limited range of motion or weakness in the right hip due to pain or discomfort.

4. No evidence of fracture or dislocation on imaging studies.

5. Diagnosis is confirmed as a strain involving the muscle, fascia, or tendon of the right hip.

6. This is the patient’s initial encounter for evaluation and treatment of the injury.

Applicable CPT codes for ICD-10 code S76.011A may include:

- 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s))

- 20553 (Injection(s); single or multiple trigger point(s), 3 or more muscles)

- 97110 (Therapeutic exercises, each 15 minutes)

- 97140 (Manual therapy techniques, each 15 minutes)

- 99202–99205 (New patient office or other outpatient visit)

- 99212–99215 (Established patient office or other outpatient visit)

- 29405 (Application of long leg cast)

- 29515 (Application of short leg splint)

CPT code selection should be based on the specific services rendered and clinical documentation.

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