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ICD-10 Guide
ICD-10 CodesS71.052

S71.052

Billable

Open bite, left hip

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

Code Description

ICD-10 S71.052 is a billable code used to indicate a diagnosis of open bite, left hip.

Key Diagnostic Point:

An open bite of the left hip refers to a specific type of injury characterized by a fracture or disruption of the bone structure in the hip region, leading to an open wound. This injury often results from high-energy trauma, such as falls, vehicular accidents, or sports injuries. The open nature of the wound increases the risk of infection and complicates the healing process. Clinically, patients may present with severe pain, swelling, and limited mobility in the affected hip. Diagnosis typically involves 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 stabilize the fracture, repair soft tissue damage, and ensure proper alignment of the hip joint. Post-operative care includes pain management, physical therapy, and monitoring for complications such as infection or non-union of the fracture. The management of open hip injuries is critical due to the potential for long-term functional impairment and the need for comprehensive rehabilitation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires detailed documentation of the injury mechanism.
  • Differentiation from closed fractures and other hip injuries.
  • Potential for associated injuries complicating coding.
  • Need for precise coding based on the specific location and type of fracture.

Audit Risk Factors

  • Inadequate documentation of the injury mechanism.
  • Failure to specify the type of fracture (open vs. closed).
  • Lack of follow-up documentation on healing and complications.
  • Misclassification of the injury site or type.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of open hip fractures, management of post-operative complications.

Billing Considerations

Ensure accurate description of the surgical procedure and any complications encountered.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans.

Common Clinical Scenarios

Initial evaluation of trauma patients with suspected hip injuries.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S71.052 When
  • Follow official ICD
  • CM guidelines for coding injuries, ensuring specificity in the documentation of the injury type and location
  • Include any relevant external cause codes to provide context for the injury

Exclusion Criteria

Do NOT use S71.052 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27125CPT Code

Total hip arthroplasty

Clinical Scenario

Used in cases where open fractures require joint replacement due to severe damage.

Documentation Requirements

Operative report detailing the procedure and indications for surgery.

Specialty Considerations

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including open fractures, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open fractures, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open fractures, which enhances data accuracy and improves patient care tracking.

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 and closed fracture?

An open fracture involves a break in the bone that protrudes through the skin, increasing the risk of infection, while a closed fracture does not break the skin.