Unspecified open wound, left hip
ICD-10 S71.002 is a billable code used to indicate a diagnosis of unspecified open wound, left hip.
An unspecified open wound of the left hip refers to a traumatic injury that results in a break in the skin and underlying tissues in the hip region, specifically on the left side. This type of injury can occur due to various mechanisms such as falls, motor vehicle accidents, or sports injuries. Open wounds can vary in severity, from superficial abrasions to deep lacerations that may involve muscles, tendons, and even bone. In the context of orthopedic trauma, such injuries can lead to complications such as infection, delayed healing, or the need for surgical intervention. The hip joint is a critical weight-bearing joint, and injuries in this area can significantly impact mobility and quality of life. Treatment often involves wound care, pain management, and possibly surgical repair, especially if there are associated fractures or dislocations. Accurate coding is essential for proper reimbursement and to reflect the complexity of the injury and its management.
Detailed descriptions of the wound, associated injuries, and surgical interventions performed.
Open fractures of the hip, traumatic dislocations, and post-surgical complications.
Ensure that all associated injuries are documented to support the complexity of the case.
Thorough documentation of the mechanism of injury, initial assessment findings, and treatment provided.
Trauma cases presenting with open wounds, potential fractures, and dislocations.
Accurate coding requires clear documentation of the patient's condition upon arrival and any immediate interventions.
Performed in cases of severe hip injury requiring joint replacement.
Document the indication for surgery and any pre-operative assessments.
Orthopedic surgeons must ensure that the surgical approach aligns with the diagnosis.
An open wound involves a break in the skin, exposing underlying tissues, while a closed wound does not break the skin and may involve bruising or internal damage.
