ICD-10 Coding for Hip Injury(S72.002A, S73.001A, M25.551)
Complete ICD-10-CM coding and documentation guide for Hip Injury. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hip Injury
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S72.002A | Fracture of unspecified part of neck of right femur, initial encounter for closed fracture | Use when a closed fracture of the right femoral neck is confirmed by imaging. |
|
| S73.001A | Dislocation of right hip, initial encounter | Use for initial encounter of a traumatic dislocation of the right hip. |
|
| M25.551 | Pain in right hip | Use when documenting pain in the right hip without a specific injury. |
|
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 fracture
Essential facts and insights about Hip Injury
Primary ICD-10-CM Codes for hip injury
Decision Criteria
clinical Criteria
- Confirmed fracture via imaging
Applicable To
- Closed fracture of right femoral neck
Excludes
- Open fracture of right femoral neck
Clinical Validation Requirements
- X-ray or MRI confirming fracture location
Code-Specific Risks
- Ensure correct laterality is documented
Coding Notes
- Ensure the 7th character accurately reflects the encounter type.
S73.001A - Dislocation of right hip, initial encounter
Use for initial encounter of a traumatic dislocation of the right hip.
Applicable To
- Traumatic dislocation of right hip
Excludes
- Congenital dislocation of hip
Clinical Validation Requirements
- Clinical examination and imaging confirming dislocation
Coding Notes
Document the reduction method and anesthesia used.
M25.551 - Pain in right hip
Use when documenting pain in the right hip without a specific injury.
Applicable To
- Chronic pain in right hip
Excludes
- Pain due to specific injury
Clinical Validation Requirements
- Negative imaging for acute injury
Coding Notes
Ensure pain is not due to a specific injury.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Fracture of unspecified part of neck of left femur, initial encounter for closed fracture
S72.001ADislocation of left hip, initial encounter
S73.002AContusion of hip, initial encounter
S70.00XADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hip Injury to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.002A.
Impact
Clinical: Lack of specificity in patient records., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always use the most specific code available, Verify documentation supports the code used
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records.
Mitigation Strategy
Always verify and document the correct side of the injury.
Impact
Reimbursement: Claims may be rejected or delayed., Compliance: Failure to meet coding guidelines., Data Quality: Incomplete documentation of patient care.
Mitigation Strategy
Ensure the 7th character reflects the encounter type (initial, subsequent, sequela).
Impact
Audits may focus on the specificity of codes used for hip injuries.
Mitigation Strategy
Use the most specific codes and ensure documentation supports them.
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 Hip Injury, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hip Injury
Use these documentation templates to ensure complete and accurate documentation for Hip Injury. These templates include all required elements for proper coding and billing.
Initial encounter for hip fracture
Specialty: OrthopedicsRequired Elements
- Patient history
- Mechanism of injury
- Imaging results
- Physical examination findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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