Tuesday, January 31, 2023

What Medical Codes Used For Workout Injuries

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What Medical Codes To Use For These Common Workout Injuries While Billing

Workouts and exercise have numerous health benefits. On the other hand workout injuries are the most common problem for people. But they also carry the risk of injuries, strains, and sprains. Poor posture, exercising before warming up the body, repetitive motion, not getting sufficient rest between workouts, conducting the too intense exercise, incorrectly using appropriate equipment, trying to twist or trying to push your body excessively hard are the most common causes of workout injuries.

Healthcare professionals can depend on orthopedics medical coding services to accurately report differential diagnoses and treatments and submit claims. So today we are going to discuss medical codes used for common workout injuries. So here we go!


So far, there has been very little overlap between sports injury and sports-related sickness categorization and illness categorization used in healthcare. In general, the focus of medicine is on death and disability, and non-communicable illness dominates both categories, accounting for 71% of all deaths globally. Injury is a leading cause of mortality among young adults, mostly through motor vehicle accidents, suicide, and, in some countries, homicide.

Sports-related injuries and illnesses, on the other hand, are prevalent and can result in severe morbidity. Sports-related injury and disease prevention has been a major emphasis in the growth of sport and exercise medicine.

The most current version of ICD-11 (which may become the standard version in 2022) is more extensive and includes codes for practically all athletic injuries and diseases. It still struggles from the combined concerns of having too many codes that are unrelated to athletics and there are not enough sports-specific injury/illness codes. Injuries to the hamstring muscle group, for example, are the most prevalent in various sports yet do not have a specific ICD number.

From the standpoint of researchers looking into causes of mortality, significant morbidity, or hospitalization, hamstring injury is of minimal relevance and may thus be categorized in ICD under a larger classification of non-specific soft tissue diseases of the posterior thigh.

Common Workout Injuries in ICD-10 Codes

Workout injuries are caused by repeated and powerful movements. The severity of the symptoms determines the treatment for workout injuries. Nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen and naproxen sodium are commonly used to treat pain and decrease inflammation.

Corticosteroid injections are used as short-term therapy to reduce joint discomfort. Physical therapy programs can help you improve your hip range of motion, as well as your hip and core strength and stability. Surgery will be suggested only if non-surgical therapy does not improve symptoms.

Here are some ICD – 10 codes for common workout injuries.

Rupture of the biceps tendon

Biceps tendon tears can happen at either the shoulder or the elbow. Heavy weight lifting can put a strain on the biceps, causing the tendon to pull away from the bone as well as the muscles to separate from the bone.

  • M66.82 – Other tendons spontaneously ruptured, upper arm
  • M66.821 – Other tendons spontaneously ruptured, right upper arm
  • M66.822 – Other tendons spontaneously ruptured, left upper arm
  • M66.829 – Unspecified upper arm, spontaneous rupture of additional tendons

Torn labrum

Exercises, sports-related activities, or other physical activity that entail abrupt twisting or long-distance running might induce hip labral rupture.

  • S43.43 – Lesion of the superior glenoid labrum
  • S43.431 – Right superior glenoid labrum lesion
  • S43.432 – Left shoulder superior glenoid labrum lesion
  • S43.439 – An unidentified shoulder with a superior glenoid labrum lesion.

Broken sternum

The sternum safeguards the heart, lungs, and main blood veins. Pain in the sternum can arise as a consequence of activity or as a result of a number of disorders or accidents. Sternum fractures are most often the consequence of direct trauma. Breathing difficulties, discomfort, and swelling around the sternum are among the most serious symptoms.

  • S22.2 – Sternum Fracture
  • S22.20 – Unspecified sternum fracture
  • S22.20XA – initial contact with a closed fracture
  • S22.20XB – initial encounter with an open fracture
  • S22.20XD – sequent fracture interaction with regular healing
  • S22.20XG – following encounter for fracture with delayed healing
  • S22.20XK – encounter for fracture with nonunion
  • S22.20XS – sequela

Pain in the lower back

Strenuous workouts or excessive weight lifting can strain the muscles that surround the spine, resulting in low back discomfort.

M54.50 – Unspecified low back pain
M54.51 – Low back discomfort caused by vertebrogenesis
M54.59 – Additional low backache

Injuries to the pectoral muscles

A rupture in the big muscle that covers the chest is known as a pectoralis injury. Pectoralis major strain can develop during weight training or bench press workouts when the muscle is forced to contract when stretched.

  • S29.011A – Initial contact, muscle and tendon strain on the front wall of the thorax
  • Y92.39 – Other stated sports and athletic areas as the site of the external cause’s occurrence
  • Y93.B9 – Muscle-strengthening workouts

Injury to the knee

Running, jumping, stretching, and bending are all physical activities that can place a lot of strain on the knees and cause pain. A typical ailment produced by repeated knee bending during high-stress workouts is the runner’s knee.

  • S83 Dislocation and sprain of joints and ligaments of knee
  • S83.0 Subluxation and dislocation of patella
  • S83.1 Subluxation and dislocation of knee
  • S83.2 Tear of the meniscus, current injury
  • S83.3 Tear of articular cartilage of the knee, current
  • S83.4 Sprain of collateral ligament of knee
  • S83.5 Sprain of cruciate ligament of knee
  • S83.6 Sprain of the superior tibiofibular joint and ligament
  • S83.8 Sprain of other specified parts of knee
  • S83.9 Sprain of unspecified site of knee

Shin splints

Shin splints are pains along the inner border of the tibia or shinbone. The illness, also known as medial tibial stress syndrome, occurs when the muscle and bone tissue in the leg get overworked as a result of repetitive actions.

  • Anterior tibial syndrome (M76.81)
  • M76.811 – right leg
  • M76.812 – left leg
  • M76.819 – unspecified leg


This condition, which is common among bodybuilders, occurs when the repeated motion of lifting puts the tendon under tension and produces tightness over time. The disease, also known as overuse tendinopathy, can result in rotator cuff tendinitis of the shoulder and lateral epicondylitis, or tennis elbow.

  • M76.60 Achilles tendonitis, unknown leg
  • M76.61 Achilles tendinitis of the right thigh
  • M76.62 Achilles tendinitis of the left thigh
  • M75.1 Unspecified traumatic rotator cuff injury or rupture

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