ICD-10 Coding for Hip Labral Tear(S73.191A, S73.192A)
Complete ICD-10-CM coding and documentation guide for 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 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 initial encounters of confirmed right hip labral tears. |
|
| S73.192A | Other sprain of left hip, initial encounter | Use for initial encounters of confirmed left hip 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 hip labral tear
Essential facts and insights about Hip Labral Tear
Primary ICD-10-CM Codes for hip labral tear
Decision Criteria
clinical Criteria
- MRI confirms labral tear
coding Criteria
- Specify laterality and encounter type
Applicable To
- Right hip labral tear, initial encounter
Excludes
- Chronic hip pain (G89.21)
Clinical Validation Requirements
- MRI arthrogram confirmation
- Positive McCarthy test
Code-Specific Risks
- Incorrect laterality
- Missing encounter type
Coding Notes
- Ensure MRI confirmation is documented.
S73.192A - Other sprain of left hip, initial encounter
Use for initial encounters of confirmed left hip labral tears.
Applicable To
- Left hip labral tear, initial encounter
Excludes
- Chronic hip pain (G89.22)
Clinical Validation Requirements
- MRI arthrogram confirmation
- Positive FABER test
Coding Notes
Ensure MRI confirmation is documented.
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 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: Ambiguity in treatment location, Regulatory: Non-compliance with ICD-10 coding standards, Financial: Potential claim denials
Mitigation Strategy
Always document right or left hip, Use templates that prompt for laterality
Impact
Reimbursement: Potential for lower reimbursement, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Use S73.19- series when labral tear is confirmed.
Impact
Coding laterality incorrectly can lead to audit flags.
Mitigation Strategy
Implement double-check systems for laterality in documentation.
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 Labral Tear, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hip Labral Tear
Use these documentation templates to ensure complete and accurate documentation for Hip Labral Tear. These templates include all required elements for proper coding and billing.
Initial encounter for right hip labral tear
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Diagnosis and treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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