Strain of muscle, fascia and tendon of pelvis, init encntr

This code signifies a non-traumatic injury to the soft tissues of the pelvic region, specifically involving the muscles, fascia, or tendons. It indicates an overstretching or tearing of these structures, resulting in pain and dysfunction. This initial encounter designation means the patient is receiving active treatment for the injury.

Apply this code for patients presenting with acute pain and tenderness in the pelvic area following activities such as strenuous exercise, sudden movements, or minor falls, where a muscle, fascia, or tendon strain is diagnosed. This is appropriate for the first time the patient is seen for this specific injury.

• Ensure documentation clearly specifies the pelvic region as the site of the strain.
• Confirm the encounter is for the initial treatment of the injury, not a follow-up or sequela.
• Distinguish from sprains (ligamentous injury) or fractures, which would require different codes.