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S76.119A vs S76.119D

S76.119A (Strain of unspecified quadriceps muscle, fascia and tendon, initial encounter) compared with S76.119D (Strain of unspecified quadriceps muscle, fascia and tendon, subsequent encounter), from the official CMS tabular data. S76.119A and S76.119D code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S76.119A
Initial encounter
Strain of unspecified quadriceps muscle, fascia and tendon, initial encounter
↔
S76.119D
Subsequent encounter
Strain of unspecified quadriceps muscle, fascia and tendon, subsequent encounter

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S76.119A and S76.119D code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

S76.119AStrain of unspecified quadriceps muscle, fascia and tendon, initial encounterS76.119DStrain of unspecified quadriceps muscle, fascia and tendon, subsequent encounter
Billing statusBillableBillable
ClassificationS00-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)
DefinitionStrain of unspecified quadriceps muscle, fascia and tendon, initial encounter is a billable ICD-10-CM diagnosis code (S76.119A).Strain of unspecified quadriceps muscle, fascia and tendon, subsequent encounter is a billable ICD-10-CM diagnosis code (S76.119D).
7th characterThe appropriate 7th character is to be added to each code from category S76The appropriate 7th character is to be added to each code from category S76
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources