Strain of muscle, fascia and tendon of right hip, init

This code signifies a non-traumatic injury to the soft tissues (muscles, fascia, or tendons) surrounding the right hip joint. It indicates an overstretching or tearing of these structures, resulting in pain, swelling, and limited range of motion. This is an acute injury, meaning it is in the initial phase of treatment.

Apply this code when documenting a newly diagnosed strain of the muscles, fascia, or tendons of the right hip. This includes injuries sustained during athletic activities, falls, or sudden movements that overextend the hip. It is appropriate for the initial encounter where the patient is receiving active treatment for the injury.

• Ensure documentation specifies "right hip" and clearly indicates a strain, not a sprain or tear requiring surgical intervention.
• Confirm the encounter is the initial treatment for this specific injury; subsequent encounters will require different seventh characters.
• Look for keywords like "strain," "pulled muscle," or "overstretched tendon" in the physician's notes.