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ICD-10 Guide
ICD-10 CodesS71.059

S71.059

Billable

Open bite, unspecified hip

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

Code Description

ICD-10 S71.059 is a billable code used to indicate a diagnosis of open bite, unspecified hip.

Key Diagnostic Point:

An open bite of the hip refers to a type of injury characterized by a fracture or disruption in the continuity of the hip bone, specifically the femur or pelvic region, that results in an open wound. This condition can arise from various traumatic events, such as falls, vehicular accidents, or sports injuries. The open nature of the injury increases the risk of infection and complicates the healing process. Clinically, patients may present with severe pain, swelling, and an inability to bear weight on the affected side. Diagnosis typically involves imaging studies such as X-rays or CT scans to assess the extent of the injury and rule out associated fractures or dislocations. Treatment often requires surgical intervention, particularly in cases where the fracture is displaced or involves joint surfaces. Orthopedic trauma surgery may be necessary to stabilize the fracture using internal fixation devices, such as plates or screws. Post-operative care includes pain management, physical therapy, and monitoring for complications such as infection or non-union of the fracture. The prognosis depends on the severity of the injury, the patient's age, and overall health status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of injury specifics
  • Need for precise imaging reports to confirm diagnosis
  • Potential for associated injuries complicating coding
  • Differentiation from similar codes for hip injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify laterality when applicable
  • Lack of detailed operative reports for surgical interventions
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and post-operative care plans.

Common Clinical Scenarios

Fractures requiring surgical fixation, dislocations associated with fractures, and post-operative complications.

Billing Considerations

Ensure clarity in the documentation of the type of fracture and any associated injuries to avoid coding errors.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes, imaging results, and initial treatment plans.

Common Clinical Scenarios

Acute trauma cases presenting with hip injuries, including dislocations and fractures.

Billing Considerations

Accurate documentation of the mechanism of injury and initial treatment provided is crucial for proper coding.

Coding Guidelines

Inclusion Criteria

Use S71.059 When
  • According to ICD
  • 10 coding guidelines, S71
  • 059 should be used when the specific laterality of the hip injury is not documented
  • Coders must ensure that the documentation supports the diagnosis and that all relevant details are captured

Exclusion Criteria

Do NOT use S71.059 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used in conjunction with S71.059 for surgical intervention.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must provide clear documentation of the surgical approach and fixation method.

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 open bites of the hip, which enhances 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 injuries, including open bites of the hip, which enhances 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 open and closed fractures?

Open fractures involve a break in the skin and exposure of the bone, while closed fractures do not break the skin. Open fractures have a higher risk of infection and require different management.