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v1.0.0
ICD-10 Guide
ICD-10 CodesS71.05

S71.05

Billable

Open bite of hip

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

Code Description

ICD-10 S71.05 is a billable code used to indicate a diagnosis of open bite of hip.

Key Diagnostic Point:

An open bite of the hip refers to a traumatic injury characterized by a fracture or laceration that penetrates the skin and underlying tissues of the hip region. This injury often results from high-energy trauma, such as falls, motor vehicle accidents, or sports injuries. Clinically, patients may present with severe pain, swelling, and an inability to bear weight on the affected side. Open bites can lead to complications such as infection, delayed healing, and potential damage to surrounding structures, including nerves and blood vessels. Diagnosis typically involves a thorough physical examination and imaging studies, such as X-rays or CT scans, to assess the extent of the injury and rule out associated fractures or dislocations. Treatment often requires surgical intervention to repair the fracture, stabilize the hip joint, and address any soft tissue damage. Post-operative care includes pain management, physical therapy, and monitoring for complications. The prognosis depends on the severity of the injury, the patient's overall health, and adherence to rehabilitation protocols.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires detailed documentation of the injury mechanism.
  • Involves understanding of associated injuries (e.g., fractures, dislocations).
  • Surgical intervention may complicate coding.
  • Potential for multiple codes due to associated conditions.

Audit Risk Factors

  • Inadequate documentation of the injury mechanism.
  • Failure to document associated injuries.
  • Incorrect coding of surgical procedures.
  • Lack of follow-up documentation.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes.

Common Clinical Scenarios

Fractures requiring surgical fixation, hip dislocations, and trauma cases.

Billing Considerations

Ensure accurate coding of all procedures performed during surgery.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes, imaging results, and treatment plans.

Common Clinical Scenarios

Initial evaluation of trauma patients, stabilization of fractures, and referral for surgery.

Billing Considerations

Document the mechanism of injury clearly to support coding.

Coding Guidelines

Inclusion Criteria

Use S71.05 When
  • Follow official ICD
  • CM guidelines for coding injuries, ensuring accurate documentation of the injury type, location, and any associated conditions
  • Include details about the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S71.05 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27130CPT Code

Total hip arthroplasty

Clinical Scenario

Used in cases of severe hip fractures requiring joint replacement.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the extent of the injury and rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries like open bites, improving the granularity of data for treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries like open bites, improving the granularity of data for treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries like open bites, improving the granularity of data for treatment outcomes and resource allocation.

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 an open bite and a closed fracture?

An open bite involves a fracture that penetrates the skin, exposing the bone, while a closed fracture does not break the skin.