S76.019A — Strain of muscle, fascia and tendon of unspecified hip, initial encounter
Is S76.019A billable?
Yes, but S76.019A is an unspecified code. S76.019A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S76.019A is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S76.019A — the more specific alternatives are listed below.
S76.019A at a glance
| Code | S76.019A |
|---|---|
| Description | Strain of muscle, fascia and tendon of unspecified hip, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in S76.019A?
In S76.019A, the 7th character A means initial encounter. The 7th character is required for S76.019A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S76.019A group to?
S76.019A sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 537Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh with CC/MCCmedical
- 538Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCCmedical
How is S76.019A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S76.01, the nearest indexed parent of S76.019A. Use them to find the family, then select the specific code.
- Injury › muscle › hip NEC › strain
Use additional code — inherited from Chapter 19
Report an additional code alongside S76.019A to fully describe the condition. S76.019A is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S76.019A, but a patient may have both at the same time. When documentation supports it, S76.019A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S70-S79
The conditions below are not part of S76.019A, but a patient may have both at the same time. When documentation supports it, S76.019A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S76
The conditions below are not part of S76.019A, but a patient may have both at the same time. When documentation supports it, S76.019A and the excluded code may both be reported.
Code also — inherited from S76
Two codes may be needed to describe the condition fully. Whether S76.019A is sequenced first depends on the reason for the encounter.
- any associated open wound (S71.-)
How long has S76.019A existed?
S76.019A has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.