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ICD-10 Guide
ICD-10 CodesS71.011

S71.011

Billable

Laceration without foreign body, right hip

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

Code Description

ICD-10 S71.011 is a billable code used to indicate a diagnosis of laceration without foreign body, right hip.

Key Diagnostic Point:

S71.011 refers to a laceration of the right hip that does not involve any foreign body. This injury typically results from trauma such as falls, accidents, or sports injuries. The hip region is complex, containing muscles, tendons, ligaments, and nerves, making lacerations in this area potentially significant. Such injuries can lead to complications, including infection, impaired mobility, and damage to surrounding structures. Proper assessment and documentation are crucial, as lacerations can vary in depth and severity, impacting treatment decisions. In orthopedic trauma surgery, lacerations may require surgical intervention to repair soft tissue and ensure proper healing. The management of these injuries often involves a multidisciplinary approach, including orthopedic surgeons, physical therapists, and primary care providers, to optimize recovery and restore function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in laceration depth and severity
  • Potential for associated injuries (e.g., fractures, dislocations)
  • Need for detailed documentation of the injury mechanism
  • Differentiation from other hip injuries (e.g., fractures, dislocations)

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to note associated injuries
  • Incorrect coding of the injury type
  • Lack of clarity on treatment provided

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the laceration, including depth, location, and any associated injuries.

Common Clinical Scenarios

Lacerations resulting from falls, sports injuries, or accidents requiring surgical repair.

Billing Considerations

Ensure to document any surgical interventions performed, including suturing or debridement.

Emergency Medicine

Documentation Requirements

Thorough assessment of the injury, including mechanism of injury and initial treatment provided.

Common Clinical Scenarios

Patients presenting with acute lacerations from trauma needing immediate care.

Billing Considerations

Document any imaging or consultations that may be necessary to rule out fractures or dislocations.

Coding Guidelines

Inclusion Criteria

Use S71.011 When
  • Follow official ICD
  • 10 guidelines for coding lacerations, ensuring to document the location, depth, and any associated injuries

Exclusion Criteria

Do NOT use S71.011 When
  • Exclude codes for lacerations involving foreign bodies

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration on the right hip.

Documentation Requirements

Document the size and depth of the laceration.

Specialty Considerations

Orthopedic surgeons may need to document any additional procedures performed.

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 data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 S71.011 and S71.012?

S71.011 is used for lacerations without foreign bodies, while S71.012 is for lacerations that involve foreign bodies.