ICD-10 Coding for Hip Labrum Tear(S73.191A, S73.192A)
Complete ICD-10-CM coding and documentation guide for Hip Labrum Tear. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hip Labrum Tear
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S73.191A | Sprain of right hip, initial encounter | Use for acute traumatic labral tears of the right hip during the initial encounter. |
|
| S73.192A | Sprain of left hip, initial encounter | Use for acute traumatic labral tears of the left hip during the initial encounter. |
|
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 right hip labrum tear
Essential facts and insights about Hip Labrum Tear
Primary ICD-10-CM Codes for hip labrum tear
Decision Criteria
clinical Criteria
- Presence of acute trauma and MRI confirmation
Applicable To
- Traumatic labral tear of right hip
Excludes
- Degenerative labral tear (M24.851)
Clinical Validation Requirements
- Documented trauma event
- MRI showing labral tear
- Positive physical exam tests (e.g., Fitzgerald test)
Code-Specific Risks
- Incorrectly coding degenerative tears as traumatic
Coding Notes
- Ensure documentation specifies the traumatic nature and side of the injury.
S73.192A - Sprain of left hip, initial encounter
Use for acute traumatic labral tears of the left hip during the initial encounter.
Applicable To
- Traumatic labral tear of left hip
Excludes
- Degenerative labral tear (M24.852)
Clinical Validation Requirements
- Documented trauma event
- MRI showing labral tear
- Positive physical exam tests (e.g., Fitzgerald test)
Coding Notes
Ensure documentation specifies the traumatic nature and side of the 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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hip Labrum Tear to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S73.191A.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Fails to meet documentation standards for coding., Financial: Results in denied claims or reduced reimbursement.
Mitigation Strategy
Provide detailed history and exam findings, Include specific imaging results
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of clinical data and reporting.
Mitigation Strategy
Use S73.19- codes for traumatic labral tears and ensure documentation supports trauma.
Impact
Lack of documented trauma can lead to audit flags for S73.19- codes.
Mitigation Strategy
Ensure all traumatic events are clearly documented in the patient's history.
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 Labrum Tear, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hip Labrum Tear
Use these documentation templates to ensure complete and accurate documentation for Hip Labrum Tear. These templates include all required elements for proper coding and billing.
Initial encounter for traumatic hip labral tear
Specialty: OrthopedicsRequired Elements
- Patient history
- Mechanism of injury
- Physical exam findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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