S76.991 vs S76.991D
S76.991 (Other specified injury of unspecified muscles, fascia and tendons at thigh level, right thigh) compared with S76.991D (Other specified injury of unspecified muscles, fascia and tendons at thigh level, right thigh, subsequent encounter), from the official CMS tabular data.
Summary
These codes represent different levels of the same hierarchy: S76.991 is the non-billable header that contains S76.991D, so only S76.991D (or a sibling) is reported.
Registry fact- What is different?
Title wording and billing status.S76.991D’s title adds “subsequent encounter” to the wording the two share (“Other specified injury of unspecified muscles, fascia and tendons at thigh level, right thigh”). S76.991 is a non-billable header; S76.991D is billable.
Registry fact
- Can these codes be reported together?
Not as a pair.S76.991 is the non-billable header that contains S76.991D. A header is not reported on a claim, so the choice is S76.991D or a sibling that matches the documentation.
Registry fact
- Is there an Excludes1 relationship?
None.Neither entry carries an Excludes1 note that names the other code.
Official rule
- Is there an Excludes2 relationship?
None.Neither entry carries an Excludes2 note that names the other code. S76.991 carries 6 Excludes2 notes and S76.991D carries 6 Excludes2 notes covering other codes; the side-by-side table quotes them.
Official rule
- Is one more specific?
Yes.S76.991D is a subdivision of S76.991 in the tabular hierarchy, so it is the more specific of the two.
Registry fact
- Is one a parent or header code?
Yes.S76.991 is the non-billable header that contains S76.991D. A header stands for the whole family beneath it and is not reported on a claim.
Registry fact
- Are there sequencing instructions?
None.Neither entry carries a Code First or Use Additional Code note that names the other.
Official rule
- Are there other coding relationships?
None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.
MedCoder-derived
Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels
Can these codes be reported together?
Not as a pair — S76.991 is not reportable. S76.991 is the non-billable category that contains S76.991D.
A header stands for the whole family of codes beneath it and is not reported on a claim, so the choice is S76.991D or a sibling that matches the documentation. No Excludes1/Excludes2 relationship exists between these codes in the official tabular list.
Official guidance behind these answers
Section I.B.2 — Level of Detail in Coding · applies to: S76.991 and S76.991D
Diagnosis codes are to be used and reported at their highest number of characters available and to the highest level of specificity documented in the medical record. ICD-10-CM diagnosis codes are composed of codes with 3, 4, 5, 6 or 7 characters. Codes with three characters are included in ICD-10-CM as the heading of a category of codes that may be further subdivided by the use of fourth and/or fifth characters and/or sixth characters, which provide greater detail. A three-character code is to be used only if it is not further subdivided. A code is invalid if it has not been coded to the full number of characters required for that code, including the 7th character, if applicable.
ICD-10-CM Official Guidelines FY2026
Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum
Side by side
| S76.991Other specified injury of unspecified muscles, fascia and tendons at thigh level, right thigh | S76.991DOther specified injury of unspecified muscles, fascia and tendons at thigh level, right thigh, subsequent encounter | |
|---|---|---|
| Billing status | Non-billable header | 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 | Other specified injury of unspecified muscles, fascia and tendons at thigh level, right thigh is a non-billable ICD-10-CM category code (S76.991). | Other specified injury of unspecified muscles, fascia and tendons at thigh level, right thigh, subsequent encounter is a billable ICD-10-CM diagnosis code (S76.991D). |
| 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 S76 |
| Excludes2 | injury of muscle, fascia and tendon at lower leg level (S86) sprain of joint and ligament of hip (S73.1) burns and corrosions (T20-T32) frostbite (T33-T34) snake bite (T63.0-) venomous insect bite or sting (T63.4-) | injury of muscle, fascia and tendon at lower leg level (S86) sprain of joint and ligament of hip (S73.1) burns and corrosions (T20-T32) frostbite (T33-T34) snake bite (T63.0-) venomous insect bite or sting (T63.4-) |
| Code also | any associated open wound (S71.-) | any associated open wound (S71.-) |
Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.
Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources