2026 ICD-10-CM Diagnosis Code S76.021ALaceration of muscle, fascia and tendon of right hip, initial encounter
S76.021A is a billable ICD-10-CM diagnosis code for laceration of muscle, fascia and tendon of right hip, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 564 through 566, 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds to limbs, initial encounter.
Code Identity
Code Classification
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
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S76.021A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S76.021AOverview
Is S76.021A (Laceration of muscle, fascia and tendon of right hip) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report laceration of muscle, fascia and tendon of right hip, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S76.021A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for laceration of muscle, fascia and tendon of right hip, such as an emergency visit or first evaluation.
What MS-DRG does S76.021A group to?
When laceration of muscle, fascia and tendon of right hip, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 565, 566, 963, 964, 965, with relative weights from 0.7493 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S76.021A?
Under the General Equivalence Mappings, laceration of muscle, fascia and tendon of right hip, initial encounter converts to ICD-9-CM 890.2 (opn wnd hip/thigh w tend). 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.
