Strain of musc/fasc/tend at thigh level, right thigh, subs

This code signifies a non-traumatic injury to a muscle, fascia, or tendon in the right thigh, excluding the quadriceps, hamstrings, or adductor muscles, during the recovery phase. It indicates an overstretching or tearing of these soft tissues, resulting in pain, swelling, and impaired function. The "subsequent encounter" designation means the patient is receiving follow-up care for an injury that has already been initially treated.

Use this code for patients presenting for ongoing treatment, such as physical therapy, follow-up appointments with their physician, or medication adjustments, for a diagnosed strain of a specific, but not otherwise classified, muscle, fascia, or tendon in the right thigh. This applies after the initial acute phase of injury has passed.

• Ensure documentation clearly specifies a right thigh strain of a muscle, fascia, or tendon not covered by more specific codes (e.g., quadriceps, hamstring).
• Verify the encounter is for follow-up care or healing, not the initial diagnosis or treatment of the injury.
• Confirm laterality (right thigh) is explicitly stated in the medical record.