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ICD-10 Guide
ICD-10 CodesS71.02

S71.02

Billable

Laceration with foreign body of hip

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

Code Description

ICD-10 S71.02 is a billable code used to indicate a diagnosis of laceration with foreign body of hip.

Key Diagnostic Point:

S71.02 refers to a laceration of the hip that is complicated by the presence of a foreign body. This condition typically arises from traumatic injuries such as falls, accidents, or penetrating injuries where an object becomes embedded in the soft tissues of the hip. The hip is a complex joint that connects the femur to the pelvis, and injuries in this area can lead to significant complications, including infections, impaired mobility, and damage to surrounding structures such as muscles, tendons, and nerves. The presence of a foreign body complicates the healing process and may necessitate surgical intervention to remove the object and repair the laceration. Proper assessment and documentation are crucial, as the management of such injuries often involves orthopedic trauma surgery, particularly if there are associated fractures or dislocations. The clinical approach may include imaging studies to evaluate the extent of the injury and the location of the foreign body, followed by appropriate surgical or conservative management based on the findings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates diagnosis and treatment.
  • Requires detailed documentation of the injury mechanism.
  • Potential for associated injuries (fractures, dislocations).
  • Need for surgical intervention may vary based on clinical findings.

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location.
  • Failure to document associated injuries such as fractures.
  • Lack of clarity on the mechanism of injury.
  • Improper coding of the procedure performed for foreign body removal.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes documenting the condition and treatment plan.

Common Clinical Scenarios

Trauma cases involving falls, motor vehicle accidents, or sports injuries leading to hip lacerations with foreign bodies.

Billing Considerations

Ensure accurate coding of any surgical procedures performed, including foreign body removal and repair of associated injuries.

Emergency Medicine

Documentation Requirements

Comprehensive documentation of the initial assessment, imaging results, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute hip injuries due to trauma, requiring immediate evaluation and possible surgical referral.

Billing Considerations

Document the mechanism of injury clearly to support the diagnosis and any subsequent referrals.

Coding Guidelines

Inclusion Criteria

Use S71.02 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury type, location, and any associated conditions
  • Include details about the foreign body and its impact on treatment

Exclusion Criteria

Do NOT use S71.02 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12031CPT Code

Repair of laceration, hip

Clinical Scenario

Used when a surgical repair is performed for a laceration with foreign body.

Documentation Requirements

Operative report detailing the procedure, foreign body removal, and any associated repairs.

Specialty Considerations

Orthopedic surgeons should ensure that the procedure aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, which enhances the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, which enhances the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 significance of coding S71.02?

Coding S71.02 accurately reflects the complexity of a laceration with a foreign body, which is crucial for appropriate treatment planning and reimbursement.