ICD-10 Coding for Labrum Tear Right Hip(S73.191A, M24.151)
Complete ICD-10-CM coding and documentation guide for Labrum Tear Right Hip. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Labrum Tear Right Hip
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 | Other sprain of right hip, initial encounter | Use for acute, traumatic labral tears of the right hip. |
|
| M24.151 | Other articular cartilage disorders, right hip | Use for chronic, degenerative labral tears of the right hip. |
|
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 labral tear
Essential facts and insights about Labrum Tear Right Hip
Primary ICD-10-CM Codes for labrum tear right hip
Decision Criteria
clinical Criteria
- Acute onset following trauma
documentation Criteria
- MRI confirmation of labral tear
Applicable To
- Traumatic labral tear of right hip
Excludes
- Degenerative labral tear (M24.151)
Clinical Validation Requirements
- Documented mechanism of injury
- Positive imaging findings (MRI arthrogram)
Code-Specific Risks
- Confusion with degenerative tears
Coding Notes
- Ensure documentation specifies laterality and traumatic nature.
M24.151 - Other articular cartilage disorders, right hip
Use for chronic, degenerative labral tears of the right hip.
Applicable To
- Degenerative labral tear of right hip
Excludes
- Traumatic labral tear (S73.191A)
Clinical Validation Requirements
- Chronic pain without recent trauma
- Imaging showing degenerative changes
Coding Notes
Document chronicity and absence of acute trauma.
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 Labrum Tear Right Hip to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S73.191A.
Impact
Clinical: Impacts treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always specify 'right' or 'left' in documentation
Impact
Reimbursement: Potential denial due to lack of specificity, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate data for clinical analysis
Mitigation Strategy
Query provider to confirm affected side.
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Misrepresentation of patient condition, Data Quality: Misleading clinical data
Mitigation Strategy
Ensure documentation supports chronicity and absence of trauma.
Impact
Failure to document laterality can lead to audit flags.
Mitigation Strategy
Implement mandatory laterality checks in EHR systems.
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 Labrum Tear Right Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Labrum Tear Right Hip
Use these documentation templates to ensure complete and accurate documentation for Labrum Tear Right Hip. These templates include all required elements for proper coding and billing.
Orthopedic Progress Note
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Imaging findings
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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