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ICD-10 Guide
ICD-10 CodesS71.01

S71.01

Billable

Laceration without foreign body of hip

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S71.01 is a billable code used to indicate a diagnosis of laceration without foreign body of hip.

Key Diagnostic Point:

S71.01 refers to a laceration of the hip region that does not involve any foreign body. This injury can occur due to various mechanisms, including falls, sports injuries, or accidents. The hip is a complex joint that connects the femur to the pelvis, and lacerations in this area can vary in severity, affecting not only the skin but potentially underlying muscles, tendons, and ligaments. Proper assessment is crucial, as lacerations may accompany other injuries such as fractures of the femur or dislocations of the hip joint. In orthopedic trauma surgery, the management of such lacerations often involves cleaning the wound, suturing, and possibly surgical intervention if deeper structures are involved. The absence of a foreign body simplifies the coding process, as it eliminates the need for additional codes that would be required if a foreign object were present. Accurate documentation of the injury's extent and associated conditions is essential for appropriate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between lacerations and other types of injuries (e.g., fractures, dislocations)
  • Documenting the depth and extent of the laceration
  • Identifying associated injuries that may require additional coding
  • Understanding the anatomical location and implications of hip injuries

Audit Risk Factors

  • Inadequate documentation of the injury's severity
  • Failure to document associated injuries (e.g., fractures)
  • Misclassification of the type of injury (laceration vs. contusion)
  • Lack of clarity in the mechanism of injury

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the laceration, associated injuries, and surgical interventions performed.

Common Clinical Scenarios

Lacerations resulting from falls, sports injuries, or vehicular accidents requiring surgical repair.

Billing Considerations

Ensure that all associated injuries are documented to avoid undercoding.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the injury, including mechanism of injury and initial treatment provided.

Common Clinical Scenarios

Patients presenting with acute hip lacerations after trauma.

Billing Considerations

Accurate documentation of the injury's mechanism and any immediate interventions is critical.

Coding Guidelines

Inclusion Criteria

Use S71.01 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the laceration is documented as without foreign body
  • Include any relevant details about associated injuries or complications

Exclusion Criteria

Do NOT use S71.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12031CPT Code

Simple repair of laceration, face, ears, eyelids, scalp; 2.5 cm or less

Clinical Scenario

Used when a simple repair is performed on a laceration of the hip.

Documentation Requirements

Document the size and location of the laceration.

Specialty Considerations

Orthopedic surgeons should ensure that the repair technique is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between S71.01 and S71.02?

S71.01 is used for lacerations without foreign bodies, while S71.02 is for lacerations that involve a foreign body. Accurate documentation is essential to determine the correct code.