ICD-10 Coding for Right Hip Labral Tear(S73.191A, M24.151)
Complete ICD-10-CM coding and documentation guide for Right 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 Right Hip Labral 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 | 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 degenerative or non-traumatic labral tears. |
|
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 Right Hip Labral Tear
Primary ICD-10-CM Codes for right hip labral tear
Decision Criteria
clinical Criteria
- Acute traumatic event leading to labral tear
Applicable To
- Traumatic labral tear of right hip
Excludes
- Degenerative labral tear (M24.151)
Clinical Validation Requirements
- Mechanism of injury
- Acute pain onset
- Positive anterior impingement test
- MRI confirmation
Code-Specific Risks
- Misclassification of degenerative tears as traumatic
Coding Notes
- Ensure documentation specifies trauma and laterality.
M24.151 - Other articular cartilage disorders, right hip
Use for degenerative or non-traumatic labral tears.
Applicable To
- Degenerative labral tear of right hip
Excludes
- Traumatic labral tear (S73.191A)
Clinical Validation Requirements
- Chronic pain >6 weeks
- Imaging showing FAI/osteoarthritis
Coding Notes
Document absence of trauma and presence of degenerative changes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in right hip
M25.551Differential 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 Right Hip Labral 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: Inaccurate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always document right or left side, Use specific ICD-10 codes for laterality
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Ensure documentation specifies trauma for S73.191A.
Impact
Misclassification of labral tears can lead to audits.
Mitigation Strategy
Ensure clear documentation of trauma history and imaging findings.
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 Right Hip Labral Tear, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Hip Labral Tear
Use these documentation templates to ensure complete and accurate documentation for Right Hip Labral Tear. These templates include all required elements for proper coding and billing.
Post-Operative Follow-Up
Specialty: OrthopedicsRequired Elements
- Subjective improvement
- Objective findings
- Imaging results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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