S76.199D

S76.199D: Other specified injury of unspecified quadriceps muscle, fascia and tendon, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

S76.199D is a billable, specific ICD-10-CM code for other specified injury of unspecified quadriceps muscle, fascia and tendon, subsequent encounter. It is valid for submission on a claim.

Check S76.199D with the rest of the claim: free scrubber

7th character "D": subsequent encounter

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

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 inherited from the categories above S76.199D

Not part of this code, but both may be coded when both are present.

Written on S76: Injury of muscle, fascia and tendon at hip and thigh level

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S76.199D is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53065Billing and Coding: Outpatient Physical Therapy

Code history

Unchanged in every release from FY2024 to FY2027.