ICD-10 Coding for Labral Tear of Hip(S73.19XA, S73.192D)
Complete ICD-10-CM coding and documentation guide for Labral Tear of Hip. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Labral Tear of Hip
S73.1Primary Range
Injury of hip joint
This range includes codes for traumatic labral tears of the hip.
Other specific joint derangements of hip
This range includes codes for femoroacetabular impingement, often associated with labral tears.
Other congenital deformities of hip
This range includes codes for developmental dysplasia of the hip, which can be related to labral tears.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S73.19XA | Other specified sprain of hip, initial encounter | Use for initial encounters of traumatic labral tears. |
|
| S73.192D | Other specified sprain of left hip, subsequent encounter | Use for follow-up visits after initial treatment of a left hip labral tear. |
|
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 labral tear of hip
Essential facts and insights about Labral Tear of Hip
Primary ICD-10-CM Codes for labral tear of hip
Decision Criteria
clinical Criteria
- Presence of traumatic event leading to labral tear
Applicable To
- Traumatic labral tear of hip
Excludes
- Degenerative labral tear
Clinical Validation Requirements
- MRI arthrography confirming labral tear
- Positive anterior impingement test
Code-Specific Risks
- Incorrectly coding degenerative tears as traumatic
Coding Notes
- Ensure documentation specifies traumatic etiology.
S73.192D - Other specified sprain of left hip, subsequent encounter
Use for follow-up visits after initial treatment of a left hip labral tear.
Applicable To
- Follow-up care for left hip labral tear
Excludes
- Initial encounter for labral tear
Clinical Validation Requirements
- Post-operative follow-up documentation
- Imaging confirming repair status
Coding Notes
Ensure encounter type is correctly documented.
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.
Femoroacetabular impingement
M24.851Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Labral Tear of Hip to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S73.19XA.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terms like 'labral tear confirmed by MRI'., Document all relevant tests and findings.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Verify documentation for correct side and encounter type before coding.
Impact
Using initial encounter codes for follow-up visits.
Mitigation Strategy
Implement a checklist for encounter type verification.
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 Labral Tear of Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Labral Tear of Hip
Use these documentation templates to ensure complete and accurate documentation for Labral Tear of Hip. These templates include all required elements for proper coding and billing.
Post-operative follow-up for labral tear repair
Specialty: OrthopedicsRequired Elements
- Patient-reported outcomes
- Physical examination findings
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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