I would appreciate some help with choosing the ICD-10-CM diagnosis code for "right gluteus medius tear, subsequent encounter." I came up with S76.321D. Any thoughts? (Thank you in advance for any help you can give me.) I would use S76.311D. When you look up tear, muscle it tells you to see “strain”. So, I would code it to strain not laceration.
Tendinitis of bilateral gluteal tendons ICD-10-CM M76.01 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 557 Tendonitis, myositis and bursitis with mcc 558 Tendonitis, myositis and bursitis without mcc
Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter. S76.311A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Right hip tendon tear ICD-10-CM S76.011A is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 537 Sprains, strains, and dislocations of hip, pelvis and thigh with cc/mcc 538 Sprains, strains, and dislocations of hip, pelvis and thigh without cc/mcc
S76.311DI would use S76. 311D.
A gluteus medius tear is a condition characterized by severe strain on the gluteus medius muscle that results in partial or complete rupture of the muscle. The gluteus medius is one of the major muscles of the hip and is essential for movement of the lower body and keeping the pelvis level during ambulation.
The gluteal region is located posterior to the pelvic girdle and extends distally into the upper leg. The bony structure is composed of the tibia and fibula bones, and the muscles of the leg are grouped into the anterior, lateral, and posterior compartments by extensions of fascia.
Tears to the gluteus medius or gluteus minimus, two of the three muscles in the buttocks, can cause pain and instability in the outside of the hips. These injuries can occur acutely due to a traumatic injury or over time due to degeneration of related tendons.
Causes. The tear or rupture of the gluteus medius muscle is commonly seen in runners and athletes involved in high-impact sports such as soccer or basketball. It can occur from sudden bursts of activity and poor flexibility of the gluteus muscle.
27299If a repair of the gluteus medius or minimus is performed in conjunction with these procedures, then CPT 27299 is used....Recommendations.ProcedureApplicable CPT codesRVUArthroscopic repair of gluteus medius or minimus29999 (referencing 29827)15.5912 more rows
These include the gluteus maximus, gluteus medius, and gluteus minimus. The gluteus maximus is the large, wide, thick muscle at the surface of the buttocks.
Glute and Hamstring "Backside" Anatomy Three muscles make up the glutes: gluteus maximus, gluteus medius, and gluteus minimus. The attachment site for these muscles is the ilium and sacrum. They all insert on the femur.
The gluteus maximus is the most superficial as well as largest of the three muscles and makes up most of the shape and form of the buttock and hip area. The gluteus maximus is a thick fleshy muscle with a quadrangular shape....These muscles include:Gluteus maximus.Gluteus medius.Gluteus minimus.
The gluteus medius and gluteus minimus muscles are key lateral hip muscles that contribute to pelvic stability and lower extremity function,1 and they are frequently implicated in disorders of the pelvis, hip, and knee.
The gluteus minimus is the smallest of the gluteal muscles and is located immediately beneath the gluteus medius. This muscle helps with internal and external rotation of the femur at the hip joint.
There are two gluteus tendons that both attach at the outer aspect of the hip at the greater trochanter: the gluteus minimus and medius tendons. Both of these muscles abduct the hip, while the gluteus minimus also acts as the primary internal rotator of the hip.