Find information on left hip strain diagnosis, including clinical documentation, medical coding (ICD-10, CPT), and healthcare guidance. Learn about left hip strain symptoms, treatment, and prognosis. Resources for physicians, coders, and patients covering left hip muscle strain, hip pain, and related musculoskeletal conditions.
Also known as
Strain of hip and thigh
Injury to hip and thigh muscles or tendons.
Enthesopathy of hip
Disorder where tendons/ligaments attach to hip bone.
Falls
Includes various falls, a possible cause of hip strain.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the left hip strain traumatic?
Yes
Initial encounter?
No
Atraumatic strain?
When to use each related code
| Description |
|---|
| Left Hip Strain |
| Left Hip Sprain |
| Left Hip Tendinitis |
Coding left hip strain without specifying laterality can lead to claim rejections. ICD-10 requires distinct codes for left, right, and bilateral.
Incorrectly coding a sprain as a strain or vice versa leads to inaccurate reporting and potential claim denials. CDI should clarify the diagnosis.
Insufficient documentation to support the left hip strain diagnosis can trigger audits and denials. Medical record must detail the injury mechanism.
Patient presents with complaints of left hip pain, consistent with a left hip strain. Onset of pain occurred [Date of onset] while [Mechanism of injury - e.g., running, lifting, twisting]. Patient reports [Character of pain - e.g., sharp, dull, aching] pain in the left hip region, exacerbated by [Exacerbating factors - e.g., weight-bearing, movement, palpation]. Pain is rated [Pain scale rating] on a scale of 0-10. Patient denies any numbness, tingling, or radiating pain. Physical examination reveals [Findings - e.g., tenderness to palpation over the left hip, limited range of motion in the left hip, negative straight leg raise]. No evidence of deformity, ecchymosis, or swelling. Neurovascular exam intact. Differential diagnosis includes left hip strain, hip osteoarthritis, labral tear, and trochanteric bursitis. Assessment: Left hip strain (ICD-10 code: S76.02XA). Plan: Conservative management recommended. Patient advised to rest, ice, and elevate the affected hip. Over-the-counter pain relievers such as ibuprofen or naproxen recommended for pain management. Patient educated on proper body mechanics and stretching exercises. Referral to physical therapy for strengthening and range of motion exercises may be considered. Follow-up appointment scheduled in [Duration - e.g., one week, two weeks] to assess progress.