Is S76 a billable ICD-10-CM code?

No. S76 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S76 sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).

S76

S76 — Injury of muscle, fascia and tendon at hip and thigh level

Non-billable headerICD-10-CM

S76 is a non-billable header ICD-10-CM code for injury of muscle, fascia and tendon at hip and thigh level. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S76

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

injury of muscle, fascia and tendon at lower leg level (S86)
sprain of joint and ligament of hip (S73.1)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

any associated open wound (S71.-)

Risk adjustment

S76 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead S76

6 child codes. Green means billable.

Questions about S76

Is S76 a billable ICD-10-CM code?: No. S76 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S76 sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).