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ICD-10 Guide
ICD-10 CodesS71.012

S71.012

Billable

Laceration without foreign body, left hip

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

Code Description

ICD-10 S71.012 is a billable code used to indicate a diagnosis of laceration without foreign body, left hip.

Key Diagnostic Point:

S71.012 refers to a laceration of the left hip that does not involve any foreign body. This type of injury is typically the result of trauma, such as falls, accidents, or sports injuries. The hip is a complex joint that connects the femur to the pelvis, and injuries in this area can lead to significant pain, mobility issues, and complications if not treated properly. Lacerations can vary in severity, from superficial cuts to deep wounds that may affect underlying muscles, tendons, or nerves. In the context of orthopedic trauma, it is crucial to assess the extent of the injury, as associated conditions like hip fractures, femoral injuries, or dislocations may also be present. Proper documentation of the injury's characteristics, including depth, location, and any associated injuries, is essential for accurate coding and treatment planning. Surgical intervention may be required for severe lacerations, particularly if there is significant tissue damage or if the injury is complicated by other orthopedic conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and depth
  • Potential for associated injuries (e.g., fractures, dislocations)
  • Need for detailed documentation of the laceration characteristics
  • Differentiation from similar codes for other types of hip injuries

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to note associated injuries
  • Misclassification of laceration severity
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes describing the laceration, any associated injuries, and the surgical procedure performed.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all associated injuries are documented to avoid undercoding or overcoding.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes including mechanism of injury, initial treatment provided, and follow-up care instructions.

Common Clinical Scenarios

Patients presenting with acute trauma to the hip area, requiring immediate evaluation and management.

Billing Considerations

Accurate documentation of the mechanism of injury is crucial for coding and treatment planning.

Coding Guidelines

Inclusion Criteria

Use S71.012 When
  • According to ICD
  • 10 guidelines, S71
  • 012 should be used when documenting a laceration of the left hip without foreign body involvement
  • Coders must ensure that the laceration is not part of a more complex injury involving fractures or dislocations, which would require different codes

Exclusion Criteria

Do NOT use S71.012 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration on the left hip.

Documentation Requirements

Document the size of the laceration and the method of repair.

Specialty Considerations

Orthopedic surgeons should ensure that the repair method aligns with the complexity of the laceration.

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 patient records and facilitating better treatment planning. S71.012 provides a clear distinction for lacerations without foreign bodies, which aids in clinical decision-making.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of patient records and facilitating better treatment planning. S71.012 provides a clear distinction for lacerations without foreign bodies, which aids in clinical decision-making.

Reimbursement & Billing Impact

reimbursement and to avoid claim denials.

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 S71.012 and S71.011?

S71.012 is used for lacerations without foreign bodies, while S71.011 is for lacerations that involve a foreign body. Accurate documentation of the presence of foreign bodies is crucial for correct coding.