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ICD-10 Guide
ICD-10 CodesS71.112

S71.112

Billable

Laceration without foreign body, left thigh

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/25/2025

Code Description

ICD-10 S71.112 is a billable code used to indicate a diagnosis of laceration without foreign body, left thigh.

Key Diagnostic Point:

S71.112 refers to a laceration of the left thigh that does not involve any foreign body. This type of injury is typically the result of trauma, such as falls, accidents, or sharp object injuries. The thigh is a critical area that houses major blood vessels, nerves, and muscles, making lacerations in this region potentially serious. Clinically, the assessment of such lacerations involves evaluating the depth and extent of the injury, as well as the potential for complications such as infection or damage to underlying structures. Treatment may include wound cleaning, suturing, and monitoring for signs of infection. In cases where the laceration is deep, orthopedic consultation may be necessary to assess for associated injuries to the femur or surrounding soft tissues. Proper documentation of the injury's characteristics, including size, depth, and any associated injuries, is crucial for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding the extent of the laceration
  • Potential for associated injuries that may complicate coding
  • Need for precise anatomical terminology to avoid coding errors
  • Differentiation from similar codes for lacerations in other locations

Audit Risk Factors

  • Inadequate documentation of the injury's characteristics
  • Failure to note associated injuries or complications
  • Incorrect coding of the laceration depth
  • Misclassification of the injury type (e.g., coding as a puncture instead of a laceration)

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, depth of laceration, and any associated fractures or dislocations.

Common Clinical Scenarios

Patients presenting with traumatic lacerations following falls or accidents, often requiring surgical intervention.

Billing Considerations

Documentation must clearly differentiate between lacerations and other types of injuries, such as fractures or dislocations.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients with acute lacerations from accidents, requiring immediate care and potential referral to specialists.

Billing Considerations

Emergency providers must document the urgency of the injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S71.112 When
  • According to ICD
  • 10 guidelines, S71
  • 112 should be used when the laceration is specifically located on the left thigh and does not involve any foreign body
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are coded appropriately

Exclusion Criteria

Do NOT use S71.112 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12002CPT Code

Simple repair of laceration, face, ears, eyelids, neck

Clinical Scenario

Used for simple laceration repairs in outpatient settings.

Documentation Requirements

Documentation must include the size of the laceration and the method of repair.

Specialty Considerations

Orthopedic surgeons may also perform these repairs if associated with other injuries.

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 claims and facilitating better patient care through detailed documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of claims and facilitating better patient care through detailed documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of claims and facilitating better patient care through detailed documentation.

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 S71.112 and S71.111?

S71.112 is used for lacerations on the left thigh without foreign bodies, while S71.111 is for the right thigh. Accurate coding depends on the specific location of the injury.