ICD-10 Coding for Left Hip Labral Tear(S73.192A, M24.852)
Complete ICD-10-CM coding and documentation guide for Left Hip Labral Tear. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Hip Labral Tear
S73.19-S73.192APrimary Range
Other sprain of hip and thigh
Used for traumatic labral tears of the hip, specifically the left hip.
Other specific joint derangements of hip
Used for non-traumatic or chronic labral tears, often associated with structural abnormalities.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S73.192A | Other sprain of left hip, initial encounter | For acute, traumatic labral tears of the left hip. |
|
| M24.852 | Other specific joint derangements, left hip | For chronic or non-traumatic labral tears of the left 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 left hip labral tear
Essential facts and insights about Left Hip Labral Tear
Primary ICD-10-CM Codes for left hip labral tear
Decision Criteria
clinical Criteria
- Presence of acute trauma and MRI confirmation
Applicable To
- Traumatic left hip labral tear
Excludes
- Degenerative labral tear
Clinical Validation Requirements
- Documented mechanism of injury
- MRI confirmation of labral tear
- Exclusion of degenerative causes
Code-Specific Risks
- Misclassification as a sprain when degenerative
Coding Notes
- Ensure documentation supports the traumatic nature of the tear.
M24.852 - Other specific joint derangements, left hip
For chronic or non-traumatic labral tears of the left hip.
Applicable To
- Non-traumatic left hip labral tear
Excludes
- Traumatic labral tear
Clinical Validation Requirements
- Imaging showing labral tear with structural abnormalities
- Absence of acute trauma
Coding Notes
Document any structural abnormalities contributing to the tear.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Hip Labral Tear to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S73.192A.
Impact
Clinical: Ambiguity in patient records., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always specify left or right in documentation.
Impact
Reimbursement: Incorrect DRG assignment leading to potential overpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Verify the presence of acute trauma in documentation.
Impact
Lack of documented trauma for S73.192A.
Mitigation Strategy
Ensure detailed injury history is included.
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 Left Hip Labral Tear, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Hip Labral Tear
Use these documentation templates to ensure complete and accurate documentation for Left Hip Labral Tear. These templates include all required elements for proper coding and billing.
Traumatic labral tear in athlete
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Physical exam findings
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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