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v1.0.0
ICD-10 Guide
ICD-10 CodesS71.0

S71.0

Billable

Open wound of hip

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

Code Description

ICD-10 S71.0 is a billable code used to indicate a diagnosis of open wound of hip.

Key Diagnostic Point:

An open wound of the hip refers to a traumatic injury that results in a break in the skin and underlying tissues in the hip region. This type of injury can occur due to various mechanisms, including falls, motor vehicle accidents, or sports injuries. Open wounds can vary in severity, from superficial abrasions to deep lacerations that may involve muscles, tendons, and even bone. In cases of open wounds associated with hip fractures or dislocations, there is a significant risk of complications such as infection, delayed healing, and impaired mobility. Treatment often involves surgical intervention to clean the wound, repair damaged tissues, and stabilize any fractures. Orthopedic trauma surgery may be necessary to address associated injuries, such as femoral neck fractures or acetabular fractures, which can complicate the healing process. Proper documentation of the mechanism of injury, extent of the wound, and any associated fractures or dislocations is crucial for accurate coding and optimal patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential associated injuries (fractures, dislocations)
  • Need for detailed documentation of wound characteristics
  • Variability in treatment approaches based on injury severity
  • Potential for complications requiring additional coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the depth and extent of the wound
  • Omission of associated injuries (e.g., fractures)
  • Incorrect coding of complications or follow-up procedures

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, including descriptions of the wound, associated fractures, and surgical interventions performed.

Common Clinical Scenarios

Open fractures of the hip due to trauma, surgical repair of hip dislocations, and management of infected wounds.

Billing Considerations

Ensure that all associated injuries are documented, as they may affect the coding and reimbursement.

Emergency Medicine

Documentation Requirements

Comprehensive notes on the mechanism of injury, initial assessment findings, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with traumatic hip injuries, including open wounds and dislocations.

Billing Considerations

Accurate documentation of the injury's mechanism is critical for coding and potential legal implications.

Coding Guidelines

Inclusion Criteria

Use S71.0 When
  • According to ICD
  • 10 guidelines, S71
  • 0 should be used when there is a documented open wound of the hip
  • Coders must ensure that the wound's depth and any associated injuries are clearly documented

Exclusion Criteria

Do NOT use S71.0 When
  • Exclusions include closed fractures or contusions that do not involve an open wound

Related ICD-10 Codes

Related CPT Codes

12002CPT Code

Simple repair of wounds

Clinical Scenario

Used for the repair of an open wound of the hip.

Documentation Requirements

Operative report detailing the wound size and repair method.

Specialty Considerations

Orthopedic surgeons should document any associated fractures.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of open wounds, improving the accuracy of data collection and reimbursement processes. S71.0 provides a clear distinction between open and closed injuries, which is critical for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of open wounds, improving the accuracy of data collection and reimbursement processes. S71.0 provides a clear distinction between open and closed injuries, which is critical for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S71.0 provides a clear distinction between open and closed injuries, which is critical for treatment planning.

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 S71.0 and S72.0?

S71.0 is used for open wounds of the hip, while S72.0 is for fractures of the femur without an open wound. Accurate documentation is essential to determine the correct code.