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ICD-10 Guide
ICD-10 CodesS71.151

S71.151

Billable

Open bite, right thigh

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/25/2025

Code Description

ICD-10 S71.151 is a billable code used to indicate a diagnosis of open bite, right thigh.

Key Diagnostic Point:

An open bite of the right thigh refers to a wound that penetrates through the skin and underlying tissues, exposing the underlying structures such as muscle and possibly bone. This type of injury can occur due to various mechanisms, including trauma from sharp objects, animal bites, or accidents. Open bites can lead to significant complications, including infection, delayed healing, and potential damage to surrounding nerves and blood vessels. In the context of orthopedic trauma, such injuries may necessitate surgical intervention to clean the wound, repair damaged tissues, and stabilize the area to promote healing. The right thigh is particularly vulnerable due to its location and the presence of major blood vessels and nerves. Proper assessment and management are crucial to prevent complications and ensure optimal recovery. Treatment may involve debridement, suturing, and possibly the use of antibiotics to prevent infection. Rehabilitation may also be necessary to restore function and strength in the affected limb.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between open and closed injuries
  • Identifying associated injuries (e.g., fractures, dislocations)
  • Understanding the implications of the injury on surrounding structures
  • Documenting the mechanism of injury accurately

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries or complications
  • Misclassification of the injury type (open vs. closed)
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, including the extent of the injury, surgical procedures performed, and post-operative care.

Common Clinical Scenarios

Management of open fractures, surgical debridement of wounds, and reconstruction of soft tissue.

Billing Considerations

Ensure accurate coding of any associated procedures, such as fixation or grafting.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Initial evaluation and stabilization of patients with traumatic injuries, including open bites.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S71.151 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury type, location, and any associated complications
  • Include details on the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S71.151 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11042CPT Code

Debridement, skin, and subcutaneous tissue

Clinical Scenario

Used when performing surgical debridement of an open bite wound.

Documentation Requirements

Document the extent of debridement and any additional procedures performed.

Specialty Considerations

Orthopedic surgeons should ensure that all associated injuries are documented.

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, which helps in better tracking and management of trauma cases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which helps in better tracking and management of trauma cases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which helps in better tracking and management of trauma cases.

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 an open bite and a closed injury?

An open bite involves a wound that penetrates the skin, exposing underlying tissues, while a closed injury does not break the skin and may involve internal damage.