S76.801A

S76.801A: Unspecified injury of other specified muscles, fascia and tendons at thigh level, right thigh, initial encounter

Billable / specific codeICD-10-CMright

S76.801A is a billable, specific ICD-10-CM code for unspecified injury of other specified muscles, fascia and tendons at thigh level, right thigh, initial encounter. It is valid for submission on a claim.

Check S76.801A with the rest of the claim: free scrubber

7th character "A": initial 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 S76.801A

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

S76.801A is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53058Billing and Coding: Home Health Physical Therapy

Code history

Unchanged in every release from FY2024 to FY2027.