Find information on right calf strain diagnosis, including clinical documentation, medical coding, and healthcare resources. Learn about calf muscle strain ICD-10 codes, right calf pain differential diagnosis, and treatment options. Explore resources for accurate medical coding for right calf strain and best practices for documenting calf muscle injuries in clinical settings. This comprehensive guide covers right leg muscle strain symptoms, calf strain grades, and related muscle tear information for healthcare professionals and patients.
Also known as
Injury of muscle, fascia and tendon at lower leg level
Covers specific lower leg muscle/tendon injuries.
Injury of muscle, fascia and tendon of lower leg
Includes broader lower leg muscle/tendon injuries.
Injury of muscle, fascia and tendon at ankle and foot level
Includes injuries to the ankle/foot muscles/tendons.
Myalgia
Covers muscle pain, which may be associated with a strain.
Follow this step-by-step guide to choose the correct ICD-10 code.
Traumatic strain of right calf?
When to use each related code
| Description |
|---|
| Right calf strain |
| Right calf muscle tear |
| Right Achilles tendinitis |
Patient presents with complaints of right calf pain, consistent with a right calf strain or pulled calf muscle. Onset of pain occurred [Date of Onset] while [Mechanism of Injury - e.g., running, jumping, sudden change in direction]. Patient reports [Character of pain - e.g., sharp, dull, aching, throbbing] pain localized to the [Specific location of pain - e.g., medial head of gastrocnemius, lateral head of gastrocnemius, soleus muscle] area of the right calf. Pain is aggravated by [Aggravating factors - e.g., weight bearing, plantarflexion, dorsiflexion] and alleviated by [Alleviating factors - e.g., rest, ice, elevation]. Patient denies any numbness, tingling, or coolness in the foot. Physical examination reveals [Objective findings - e.g., tenderness to palpation, edema, ecchymosis, palpable defect] in the right calf. Range of motion of the right ankle is [Range of motion - e.g., limited, full, with pain on plantarflexion or dorsiflexion]. Neurovascular exam of the right lower extremity is intact. Diagnosis of right calf muscle strain is made, likely grade [Grade of strain - e.g., I, II, III] based on clinical presentation. Differential diagnoses include Achilles tendon rupture, deep vein thrombosis, and muscle contusion. Treatment plan includes RICE therapy (rest, ice, compression, elevation), NSAIDs for pain management, and gradual return to activity as tolerated. Patient advised to follow up in [Duration] for reevaluation. Instructions provided on stretching and strengthening exercises for calf muscle rehabilitation. ICD-10 code S86.111A assigned for right calf muscle strain.