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S76 ICD-10-CM Code: Injury of muscle, fascia and tendon at hip and thigh level

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the hip and thigh (S70-S79)

S76

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Injury of muscle, fascia and tendon at hip and thigh level

Injury of muscle, fascia and tendon at hip and thigh level

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S7Injuries to the hip and thigh (S70-S79)
S76Injury of muscle, fascia and tendon at hip and thigh level

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S76 in this effective period.

Excludes 2

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

Related Child Codes

Official
S76.0Injury of muscle, fascia and tendon of hip
S76.1Injury of quadriceps muscle, fascia and tendon
S76.2Injury of adductor muscle, fascia and tendon of thigh
S76.3Injury of muscle, fascia and tendon of the posterior muscle group at thigh level
S76.8Injury of other specified muscles, fascia and tendons at thigh level

Includes

Official

ICD-10-CM does not list Includes notes for S76 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S76 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S76 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S76 in this effective period.

Code Also

Official
  • any associated open wound (S71.-)

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S76 is the ICD-10-CM diagnosis code for injury of muscle, fascia and tendon at hip and thigh level. S76 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the hip and thigh (s70-s79).

Header codes like S76 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S76's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S76 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

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

Code Also

  • any associated open wound (S71.-)

Child Codes

Code Hierarchy

S76Injury of muscle, fascia and tendon at hip and thigh level
S76Injury of muscle, fascia and tendon at hip and thigh level

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