2026 ICD-10-CM Diagnosis Code S76.012DStrain of muscle, fascia and tendon of left hip, subsequent encounter
S76.012D is a billable ICD-10-CM diagnosis code for strain of muscle, fascia and tendon of left hip, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Sprains and strains, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S76.012D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Injury of muscle of hip
- Injury of tendon of muscle of hip
- Left hip muscle injury
- Strain of flexor muscle of hip
- Strain of flexor muscle of left hip
- Strain of muscle of hip
- Strain of muscle of left groin region
- Strain of muscle of left hip
- Tendon rupture - hip
- Traumatic tear of hip tendon
- Traumatic tear of left hip tendon
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Injury of muscle, fascia and tendon at hip and thigh level (S76). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Hip Injuries and Disorders
Your hip is the joint where your femur (thigh bone) meets your pelvis (hip bone). There are two main parts: a ball at the end of the femur, which fits in a socket in the pelvis. Your hip is known as a ball-and-socket joint. This is because you have a ball at the end of your femur, and it fits into a socket in your pelvis.
Read the full article at MedlinePlus
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Convert S76.012D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S76.012DOverview
Is S76.012D (Strain of muscle, fascia and tendon of left hip) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report strain of muscle, fascia and tendon of left hip, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S76.012D mean?
The final character D marks a subsequent encounter: use it for routine care while the strain of muscle, fascia and tendon of left hip is healing, after active treatment has ended.
What MS-DRG does S76.012D group to?
When strain of muscle, fascia and tendon of left hip, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S76.012D exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for strain of muscle, fascia and tendon of left hip, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S76.012D?
Under the General Equivalence Mappings, strain of muscle, fascia and tendon of left hip, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
