S76.1 (Injury of quadriceps muscle, fascia and tendon) compared with S83.62XD (Sprain of the superior tibiofibular joint and ligament, left knee, subsequent encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“injury of patellar ligament (tendon) (S76.1-)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S83.62XD carries an Excludes2 note covering S76.1: “injury of patellar ligament (tendon) (S76.1-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S76.1Injury of quadriceps muscle, fascia and tendon | S83.62XDSprain of the superior tibiofibular joint and ligament, left knee, subsequent encounter | |
|---|---|---|
| Billing status | Non-billable header Report instead: S76.101A, S76.101D, S76.101S, S76.102A, S76.102D | Billable |
| 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 | Injury of quadriceps muscle, fascia and tendon is a non-billable ICD-10-CM category code (S76.1). | Sprain of the superior tibiofibular joint and ligament, left knee, subsequent encounter is a billable ICD-10-CM diagnosis code (S83.62D). |
| 7th character | The appropriate 7th character is to be added to each code from category S76 | The appropriate 7th character is to be added to each code from category S83 |
| Includes | Injury of patellar ligament (tendon) | avulsion of joint or ligament of knee laceration of cartilage, joint or ligament of knee sprain of cartilage, joint or ligament of knee traumatic hemarthrosis of joint or ligament of knee |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources