ICD-10 Coding for Dislocation of Hip(S73.004A, M24.351)
Complete ICD-10-CM coding and documentation guide for Dislocation of Hip. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dislocation of Hip
Pathological dislocation of hip
Used for spontaneous or pathological dislocations without trauma.
Mechanical complication of internal joint prosthesis
Used for dislocations related to hip prostheses.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S73.004A | Unspecified dislocation of right hip, initial encounter | Use for traumatic dislocations of the right hip with initial encounter. |
|
| M24.351 | Pathological dislocation of right hip | Use for spontaneous dislocations due to underlying pathology. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for hip dislocation
Essential facts and insights about Dislocation of Hip
Primary ICD-10-CM Codes for dislocation of hip
Decision Criteria
clinical Criteria
- Presence of trauma and imaging confirmation
coding Criteria
- Initial encounter for traumatic dislocation
Applicable To
- Traumatic dislocation of right hip
Excludes
- Congenital dislocation of hip (Q65.-)
Clinical Validation Requirements
- Documented trauma
- Imaging confirmation of femoral head displacement
Code-Specific Risks
- Ensure laterality is specified to avoid denials.
Coding Notes
- Ensure documentation specifies the mechanism of injury and confirms dislocation via imaging.
M24.351 - Pathological dislocation of right hip
Use for spontaneous dislocations due to underlying pathology.
Applicable To
- Recurrent dislocation without trauma
Excludes
- Traumatic dislocation of hip (S73.0-)
Clinical Validation Requirements
- No history of trauma
- Imaging showing labral tear or dysplasia
Coding Notes
Document underlying conditions such as dysplasia or Ehlers-Danlos syndrome.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Car occupant injured in collision with fixed or stationary object, initial encounter
V43.5XXADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dislocation of Hip to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S73.004A.
Impact
Clinical: Incomplete clinical picture., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always include an external cause code with traumatic dislocations.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data affecting patient records.
Mitigation Strategy
Use Q65.- codes for congenital cases.
Impact
Failure to document the mechanism of injury can lead to audit issues.
Mitigation Strategy
Ensure all trauma-related details are thoroughly documented.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Dislocation of Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dislocation of Hip
Use these documentation templates to ensure complete and accurate documentation for Dislocation of Hip. These templates include all required elements for proper coding and billing.
Traumatic Hip Dislocation
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Imaging results
- Physical exam findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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