Laceration without foreign body, unspecified hip
ICD-10 S71.019 is a billable code used to indicate a diagnosis of laceration without foreign body, unspecified hip.
S71.019 refers to a laceration of the hip region that does not involve any foreign body. This injury can occur due to various mechanisms, including falls, sports injuries, or accidents. The hip is a complex joint that connects the femur to the pelvis, and lacerations in this area can vary in severity, potentially affecting the underlying muscles, tendons, and nerves. While the laceration itself may not involve fractures or dislocations, it can be associated with other orthopedic injuries, such as hip fractures or femoral injuries, particularly in high-impact trauma cases. Proper assessment and documentation are crucial, as lacerations can lead to complications such as infection or impaired mobility. Treatment may involve surgical intervention, especially if the laceration is deep or extensive, necessitating orthopedic trauma surgery to repair the affected structures. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the injury and its management.
Detailed operative notes, including the extent of the laceration, associated injuries, and surgical interventions performed.
Lacerations resulting from falls, sports injuries, or trauma requiring surgical repair.
Ensure that all associated injuries are documented to support the complexity of the case.
Comprehensive assessment notes, including mechanism of injury, initial treatment provided, and any referrals made.
Patients presenting with acute hip lacerations due to trauma.
Document the patient's vital signs and any immediate interventions to support the diagnosis.
Used for minor lacerations of the hip that require simple closure.
Document the size and location of the laceration, as well as the technique used.
Orthopedic surgeons may need to provide additional details on the extent of the injury.
Document the mechanism of injury, the extent of the laceration, any associated injuries, and the treatment provided. Ensure that there is clarity on the absence of foreign bodies.
