Laceration without foreign body, left hip
ICD-10 S71.012 is a billable code used to indicate a diagnosis of laceration without foreign body, left hip.
S71.012 refers to a laceration of the left hip that does not involve any foreign body. This type of injury is typically the result of trauma, such as falls, accidents, or sports injuries. The hip is a complex joint that connects the femur to the pelvis, and injuries in this area can lead to significant pain, mobility issues, and complications if not treated properly. Lacerations can vary in severity, from superficial cuts to deep wounds that may affect underlying muscles, tendons, or nerves. In the context of orthopedic trauma, it is crucial to assess the extent of the injury, as associated conditions like hip fractures, femoral injuries, or dislocations may also be present. Proper documentation of the injury's characteristics, including depth, location, and any associated injuries, is essential for accurate coding and treatment planning. Surgical intervention may be required for severe lacerations, particularly if there is significant tissue damage or if the injury is complicated by other orthopedic conditions.
Detailed operative notes describing the laceration, any associated injuries, and the surgical procedure performed.
Lacerations resulting from falls, sports injuries, or accidents requiring surgical repair.
Ensure that all associated injuries are documented to avoid undercoding or overcoding.
Comprehensive assessment notes including mechanism of injury, initial treatment provided, and follow-up care instructions.
Patients presenting with acute trauma to the hip area, requiring immediate evaluation and management.
Accurate documentation of the mechanism of injury is crucial for coding and treatment planning.
Used for suturing a laceration on the left hip.
Document the size of the laceration and the method of repair.
Orthopedic surgeons should ensure that the repair method aligns with the complexity of the laceration.
S71.012 is used for lacerations without foreign bodies, while S71.011 is for lacerations that involve a foreign body. Accurate documentation of the presence of foreign bodies is crucial for correct coding.