Injuries to the hip and thigh
ICD-10 Codes (0)
No codes found matching your search
Updates & Changes
FY 2026 Updates
New Codes (1)
Revised Codes (1)
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for S140-S149 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
The ICD-10 category S140-S149 covers codes related to injuries to the hip and thigh. This includes a broad spectrum of injuries such as fractures, dislocations, sprains, strains, and contusions. The codes also account for the severity of the injury, the specific location, and whether the visit is initial or subsequent. These codes are crucial for accurate documentation and billing in trauma care, orthopedics, and emergency medicine.
Key Usage Points:
- •Always specify the injury type, location, and encounter type.
- •Use additional codes for any associated injuries or complications.
- •Remember to use the seventh character for initial or subsequent encounter.
- •Consider the patient's left or right side when selecting the code.
- •Use the 'Y' extension for injuries involving multiple body regions.
Coding Guidelines
When to Use:
- ✓Patient presents with a hip fracture after a fall.
- ✓A patient has a thigh contusion from a sports injury.
- ✓Patient with a recurrent hip dislocation.
- ✓A patient is being seen for follow-up care for a healing thigh fracture.
- ✓Patient presents with a strain of the adductor muscle group.
When NOT to Use:
- ✗Patient has a congenital hip deformity.
- ✗Patient presents with hip pain but no injury.
- ✗Patient has a disease or condition affecting the hip or thigh, but no injury.
- ✗Patient has a hip replacement due to arthritis.
- ✗Patient presents with a lower back injury.
Code Exclusions
Always verify exclusions with the patient's medical history and physician's notes.
Documentation Requirements
Accurate documentation for injuries to the hip and thigh should include the type of injury, the specific location, the severity, and the encounter type. It should also note any associated injuries or complications. The documentation should be clear, concise, and based on the physician's clinical findings.
Clinical Information:
- •Type of injury
- •Specific location
- •Severity of injury
- •Encounter type
- •Associated injuries or complications
Supporting Evidence:
- •Physician's clinical notes
- •Imaging reports
- •Operative reports
- •Physical examination findings
Good Documentation Example:
Patient presents with severe right hip fracture due to fall, initial encounter. X-ray confirms fracture.
Poor Documentation Example:
Patient fell and hurt hip.
Common Documentation Errors:
- ⚠Not specifying the injury location
- ⚠Not indicating the encounter type
- ⚠Not documenting associated injuries
- ⚠Not specifying the injury's severity
Range Statistics
Coding Complexity
The complexity of these codes is medium due to the need to accurately identify the injury type, location, and encounter type. The coder must also consider any associated injuries or complications. Understanding the patient's medical history and interpreting the physician's notes and clinical findings are also crucial.
Key Factors:
- ▸Determining the specific injury type and location
- ▸Identifying the encounter type
- ▸Documenting associated injuries or complications
- ▸Understanding the patient's medical history
- ▸Interpreting physician's notes and clinical findings
Specialty Focus
These codes are primarily used in orthopedics, emergency medicine, and trauma care. They are also relevant in sports medicine and physical therapy.
Primary Specialties:
Clinical Scenarios:
- • Patient falls at home and presents with a hip fracture.
- • Athlete suffers a thigh strain during a soccer game.
- • Patient with a history of hip dislocations presents with another dislocation.
- • Patient is seen for follow-up care after a hip fracture.
- • Patient presents with a contusion of the thigh after a minor car accident.
Resources & References
There are numerous resources available for coding injuries to the hip and thigh. These include the official ICD-10 guidelines, clinical reference materials, and educational resources.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Hospital Association's Coding Clinic
- National Center for Health Statistics
Clinical References:
- American Academy of Orthopaedic Surgeons
- American College of Emergency Physicians
Educational Materials:
- American Health Information Management Association
- American Academy of Professional Coders
Frequently Asked Questions
How do I code a hip fracture?
To code a hip fracture, identify the specific type of fracture, the patient's left or right side, and the encounter type (initial, subsequent, sequela). Use the appropriate code from the S72.0-S72.2 range.
What is the code for a thigh contusion?
The code for a thigh contusion is S70, with additional characters for the specific location and encounter type.