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ICD-10 Guide
ICD-10 CodesS71.152

S71.152

Billable

Open bite, left thigh

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

Code Description

ICD-10 S71.152 is a billable code used to indicate a diagnosis of open bite, left thigh.

Key Diagnostic Point:

An open bite of the left 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 falls, accidents, or animal bites. Open bites can lead to significant complications, including infection, delayed healing, and potential damage to the underlying vascular and nerve structures. In the context of orthopedic trauma, such injuries may require surgical intervention to clean the wound, repair damaged tissues, and stabilize the area to promote healing. The left thigh is a critical area due to its proximity to major blood vessels and nerves, making accurate assessment and treatment essential. Orthopedic surgeons often manage these injuries, especially if there is associated damage to the femur or hip joint. Proper coding of open bites is crucial for appropriate reimbursement and to ensure that the severity of the injury is accurately represented in the patient's medical record.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between open and closed injuries
  • Determining the extent of tissue damage
  • Identifying associated fractures or dislocations
  • Documenting the mechanism of injury accurately

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the extent of the open bite
  • Misclassification of the injury type (open vs. closed)
  • Lack of supporting documentation for surgical procedures

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and follow-up care plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all surgical interventions are documented, including the type of repair and any complications.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes, including vital signs, mechanism of injury, and initial treatment provided.

Common Clinical Scenarios

Initial evaluation and stabilization of trauma patients with open wounds.

Billing Considerations

Accurate documentation of the injury's mechanism and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S71.152 When
  • According to ICD
  • 10 coding guidelines, S71
  • 152 should be used when the documentation specifies an open bite injury to the left thigh
  • It is essential to ensure that the injury is not classified under other codes that pertain to closed injuries or superficial wounds

Exclusion Criteria

Do NOT use S71.152 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of wounds

Clinical Scenario

Used for the repair of an open bite wound on the left thigh.

Documentation Requirements

Operative report detailing the extent of the wound and repair performed.

Specialty Considerations

Orthopedic surgeons should ensure that all aspects of the procedure 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. This specificity aids in research and quality improvement initiatives.

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. This specificity aids in research and quality improvement initiatives.

Reimbursement & Billing Impact

reimbursement.

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 and exposes underlying tissues, while a closed injury does not break the skin and typically involves soft tissue damage or fractures.