What is the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD‑10‑CM) code for a bilateral adductor (groin) strain?

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Last updated: February 8, 2026View editorial policy

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ICD-10-CM Code for Bilateral Groin Strain

The ICD-10-CM code for bilateral adductor (groin) strain is S76.213, where the final digit "3" specifically designates bilateral involvement.

Code Structure and Laterality

  • The ICD-10-CM system uses a standardized laterality designation in the final character position: right = 1, left = 2, and bilateral = 3 1, 2, 3
  • For a bilateral groin strain, you must use the code that ends in "3" to indicate both sides are affected 1, 4
  • The S76.2 category specifically covers strain of adductor muscle, fascia and tendon of thigh, which encompasses groin strains 1

Coding Specificity Requirements

  • Always code to the highest level of specificity available in your documentation 2, 5
  • The complete code S76.213 requires all six characters, with the final "3" being mandatory to indicate bilateral involvement 1
  • Unspecified codes should only be used when documentation does not support a more specific diagnosis 2, 5

Common Coding Pitfalls

  • Do not assign separate codes for right (S76.211) and left (S76.212) when the condition is truly bilateral—use the single bilateral code S76.213 instead 1
  • Ensure your clinical documentation explicitly states "bilateral" to support use of the "3" designation 6, 5
  • The adductor muscle group strain is anatomically distinct from hip flexor or other thigh muscle strains, which have different code categories 1

Clinical Documentation Support

  • Document the specific mechanism of injury and functional limitations to support medical necessity 7
  • Note that adductor muscle strain involves the muscle group responsible for leg adduction and gripping movements 1
  • Include whether this is an initial encounter, subsequent encounter, or sequela, as this requires an additional 7th character extension 1

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

ICD-10 Coding for Left-Sided Weakness/Palsy

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Guideline

Clinical Note Coding Standards in FHIR DocumentReference

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

ICD-9-CM to ICD-10-CM Codes: What? Why? How?

Advances in wound care, 2013

Guideline

ICD-10 Coding for Bed-Bound Status

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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