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S76.192 vs S76.199

S76.192 (Other specified injury of left quadriceps muscle, fascia and tendon) compared with S76.199 (Other specified injury of unspecified quadriceps muscle, fascia and tendon), from the official CMS tabular data. S76.192 and S76.199 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S76.192
Left
Other specified injury of left quadriceps muscle, fascia and tendon
S76.199
Unspecified
Other specified injury of unspecified quadriceps muscle, fascia and tendon

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S76.192 and S76.199 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S76.192Other specified injury of left quadriceps muscle, fascia and tendonS76.199Other specified injury of unspecified quadriceps muscle, fascia and tendon
Billing statusNon-billable header

Report instead: S76.192A, S76.192D, S76.192S

Non-billable header

Report instead: S76.199A, S76.199D, S76.199S

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)
DefinitionOther specified injury of left quadriceps muscle, fascia and tendon is a non-billable ICD-10-CM category code (S76.192).Other specified injury of unspecified quadriceps muscle, fascia and tendon is a non-billable ICD-10-CM category code (S76.199).
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

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources