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    v1.0.28
    OpenPayerBilling CodesOther soft tissue disordersICD-10-CM m76-enthesopathies-lower-limb
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    ICD-10-CM Code For Enthesopathies Lower Limb Excluding Foot: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group M76 includes enthesopathies of the lower limb excluding the foot, such as tendon insertion disorders and related soft tissue conditions around the hip, thigh, knee, and leg. These ICD-10-CM diagnosis codes are used to document clinical presentations like localized tendon or ligament insertion pain, inflammation, and functional impairment, capturing disease location and severity. Accurate coding within the ICD-10-CM M76 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM M76: Enthesopathies, Lower Limb, Excluding Foot Overview

    The ICD-10-CM M76 group encompasses enthesopathies of the lower limb excluding the foot, conditions affecting tendon or ligament insertion sites around the hip, thigh, knee, and leg. These diagnoses involve musculoskeletal and connective tissue structures and often present with localized pain and functional limitation. Accurate coding is important to reflect clinical severity and to support proper reimbursement and claim processing.

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    When to Use

    Use a code from this group when the clinical documentation specifies an enthesopathy affecting the lower limb outside the foot, including identified insertion site and laterality when available. Select the specific code that reflects the documented anatomic site and any associated inflammation or chronicity noted in the medical record.

    ICD-10-CM Codes

    34 rows

    ICD-10-CM CodeDescription
    M76.00Gluteal tendinitis, unspecified hip
    M76.01Gluteal tendinitis, right hip
    M76.02Gluteal tendinitis, left hip
    M76.10Psoas tendinitis, unspecified hip
    M76.11Psoas tendinitis, right hip
    M76.12Psoas tendinitis, left hip
    M76.20Iliac crest spur, unspecified hip
    M76.21Iliac crest spur, right hip
    M76.22Iliac crest spur, left hip
    M76.30Iliotibial band syndrome, unspecified leg
    M76.31Iliotibial band syndrome, right leg
    M76.32Iliotibial band syndrome, left leg
    M76.40Tibial collateral bursitis [Pellegrini-Stieda], unspecified leg
    M76.41Tibial collateral bursitis [Pellegrini-Stieda], right leg
    M76.42Tibial collateral bursitis [Pellegrini-Stieda], left leg
    M76.50Patellar tendinitis, unspecified knee
    M76.51Patellar tendinitis, right knee
    M76.52Patellar tendinitis, left knee
    M76.60Achilles tendinitis, unspecified leg
    M76.61Achilles tendinitis, right leg

    Showing 1–20 of 34

    DRG Codes

    2 rows

    DRG CodeDescription
    557Tendonitis, Myositis and Bursitis with MCC
    558Tendonitis, Myositis and Bursitis without MCC

    Typical Clinical Scenarios

    • A middle-aged recreational runner presents to urgent care with sudden onset anterior knee pain after a long training run, localized tenderness at the patellar tendon insertion, swelling, and pain with resisted knee extension. Examination and history are consistent with patellar tendinopathy/enthesopathy of the knee due to overuse; a code from this group is assigned to capture the specific enthesopathy and laterality. Typical codes: M76.11, M76.12
    • A 55-year-old patient with chronic heel pain worsening over months despite conservative measures reports morning stiffness and focal pain at the Achilles tendon insertion; imaging shows calcification and chronic degeneration at the enthesis. This represents a chronic enthesopathy of the Achilles tendon requiring ongoing outpatient management and is coded to reflect chronicity and laterality. Typical codes: M76.81, M76.82
    • A patient with rheumatoid arthritis is seen in clinic for increased lateral hip pain and functional limitation; exam reveals trochanteric tenderness consistent with secondary enthesopathy at the greater trochanter, complicating the inflammatory arthritis. A code from this group is used to document the enthesopathy as a comorbid soft-tissue disorder in the setting of systemic disease. Typical codes: M76.60, M76.61

    Related Codes

    M70-SOFT-TISSUE-DISORDERS-RELATED-TO-USE

    ICD-10-CM Code For Soft Tissue Disorders Related To Use Overuse And Pressure: Group Overview

    M71-OTHER-BURSOPATHIES

    ICD-10-CM Code For Other Bursopathies: Group Overview

    M72-FIBROBLASTIC-DISORDERS

    ICD-10-CM Code For Fibroblastic Disorders: Group Overview

    M75-SHOULDER-LESIONS

    ICD-10-CM Code For Shoulder Lesions: Group Overview

    M77-OTHER-ENTHESOPATHIES

    ICD-10-CM Code For Other Enthesopathies: Group Overview

    M79-OTHER-SOFT-TISSUE-DISORDERS

    ICD-10-CM Code For Other And Unspecified Soft Tissue Disorders Not Elsewhere Classified: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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