S73.1 vs S76
S73.1 (Sprain of hip) compared with S76 (Injury of muscle, fascia and tendon at hip and thigh level), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. S73.1 carries an Excludes2 note covering S76: “strain of muscle, fascia and tendon of hip and thigh (S76.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. S76 carries an Excludes2 note covering S73.1: “sprain of joint and ligament of hip (S73.1)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S73.1Sprain of hip | S76Injury of muscle, fascia and tendon at hip and thigh level | |
|---|---|---|
| Billing status | Non-billable header Report instead: S73.101A, S73.101D, S73.101S, S73.102A, S73.102D | Non-billable header Report instead: S76.001A, S76.001D, S76.001S, S76.002A, S76.002D |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Sprain of hip is a non-billable ICD-10-CM category code (S73.1). | Injury of muscle, fascia and tendon at hip and thigh level is a non-billable ICD-10-CM category code (S76). |
| 7th character | The appropriate 7th character is to be added to each code from category S73 | The appropriate 7th character is to be added to each code from category S76 |
| Includes | avulsion of joint or ligament of hip laceration of cartilage, joint or ligament of hip sprain of cartilage, joint or ligament of hip traumatic hemarthrosis of joint or ligament of hip | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources