ICD-10 Coding for Left Groin Strain(S76.212A, S76.812A)
Complete ICD-10-CM coding and documentation guide for Left Groin Strain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Groin Strain
S76.2-S76.3Primary Range
Injury of muscle, fascia and tendon at thigh level
This range includes specific codes for muscle strains in the thigh, including the adductor muscles involved in groin strains.
Pain localized to other parts of lower abdomen
Used when pain is present but a specific muscle injury is not confirmed.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S76.212A | Strain of muscle, fascia and tendon of left thigh, initial encounter | Use when there is a confirmed acute strain of the left adductor muscles. |
|
| S76.812A | Strain of unspecified muscle, fascia and tendon at thigh level, left thigh, initial encounter | Use when the specific muscle group is not identified. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for left groin strain
Essential facts and insights about Left Groin Strain
Primary ICD-10-CM Codes for left groin strain
Decision Criteria
clinical Criteria
- Confirmed muscle strain via imaging or physical exam
documentation Criteria
- Detailed description of injury mechanism and muscle group
Applicable To
- Acute strain of left adductor muscle
Excludes
- Chronic strain (S76.212S)
Clinical Validation Requirements
- MRI shows partial thickness tear of left adductor longus
- Pain on resisted adduction
Code-Specific Risks
- Incorrect laterality documentation
- Failure to specify initial encounter
Coding Notes
- Ensure documentation specifies the exact muscle group and laterality.
S76.812A - Strain of unspecified muscle, fascia and tendon at thigh level, left thigh, initial encounter
Use when the specific muscle group is not identified.
Applicable To
- General left thigh muscle strain
Excludes
- Specific adductor muscle strain (S76.212A)
Clinical Validation Requirements
- Generalized pain and tenderness in the left thigh
Coding Notes
Use when documentation lacks specificity on the muscle group.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Left lower quadrant pain
R10.32Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Groin Strain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S76.212A.
Impact
Clinical: May lead to incorrect treatment planning., Regulatory: Non-compliance with ICD-10 coding guidelines., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Always specify left or right in documentation, Use templates that prompt for laterality
Impact
Reimbursement: May lead to lower reimbursement rates due to lack of specificity., Compliance: Non-compliance with coding guidelines for specificity., Data Quality: Impacts data accuracy and quality for clinical research.
Mitigation Strategy
Ensure documentation specifies the exact muscle group involved.
Impact
Audits may focus on the specificity of muscle strain documentation and coding.
Mitigation Strategy
Implement detailed documentation practices and regular training for coding staff.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Left Groin Strain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Groin Strain
Use these documentation templates to ensure complete and accurate documentation for Left Groin Strain. These templates include all required elements for proper coding and billing.
Acute sports-related left groin strain
Specialty: Sports MedicineRequired Elements
- Mechanism of injury
- Specific muscle group
- Imaging results
- Functional impact
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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