Laceration with foreign body, right hip
ICD-10 S71.021 is a billable code used to indicate a diagnosis of laceration with foreign body, right hip.
S71.021 refers to a laceration of the right hip that is complicated by the presence of a foreign body. This condition typically arises from traumatic injuries, such as falls, accidents, or penetrating injuries, where an object becomes embedded in the soft tissues of the hip region. The hip is a complex joint that bears significant weight and is crucial for mobility. Lacerations in this area can lead to complications such as infection, delayed healing, and damage to underlying structures, including muscles, tendons, and nerves. The presence of a foreign body can exacerbate these risks, necessitating careful surgical intervention to remove the object and repair the laceration. Orthopedic trauma surgery may be required to address any associated injuries, such as fractures of the femur or dislocations of the hip joint. Proper coding of this condition is essential for accurate billing and to ensure that the complexity of the injury is reflected in the medical record.
Detailed operative notes describing the laceration, foreign body removal, and any repairs performed.
Trauma cases involving falls, sports injuries, or accidents leading to lacerations with foreign bodies.
Ensure all associated injuries are documented to support coding for multiple conditions.
Thorough initial assessment notes, including mechanism of injury and foreign body identification.
Patients presenting with acute trauma to the hip with visible foreign bodies.
Document the decision-making process for surgical intervention versus conservative management.
Used when performing surgical repair of the laceration with foreign body removal.
Operative report detailing the procedure, including the size and complexity of the laceration.
Orthopedic surgeons should ensure that all aspects of the injury and repair are documented.
Documenting the foreign body is crucial for accurate coding and billing, as it directly impacts the complexity of the injury and the treatment required.
