ICD-10 Coding for Labral Tear Right Hip(S73.191A, S73.191D)
Complete ICD-10-CM coding and documentation guide for Labral 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 Labral Tear Right Hip
S73.19-Primary Range
Other sprain of hip
This range includes specific codes for labral tears of the hip, distinguishing between initial and subsequent encounters.
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 encounter of a traumatic right hip labral tear. |
|
| S73.191D | Other sprain of right hip, subsequent encounter | Use for follow-up visits after initial treatment or surgery. |
|
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 Labral Tear Right Hip
Primary ICD-10-CM Codes for labral tear right hip
Decision Criteria
clinical Criteria
- Confirmed labral tear via imaging
documentation Criteria
- Documentation must specify 'initial encounter' and mechanism of injury.
Applicable To
- Acute traumatic right hip labral tear
Excludes
- Chronic hip pain (M25.551)
Clinical Validation Requirements
- MRI or MRA findings confirming labral tear
- Positive Fitzgerald test
Code-Specific Risks
- Ensure documentation specifies 'initial encounter' to avoid incorrect coding.
Coding Notes
- Ensure the encounter type is clearly documented as 'initial.'
S73.191D - Other sprain of right hip, subsequent encounter
Use for follow-up visits after initial treatment or surgery.
Applicable To
- Follow-up for repaired right labral tear
Excludes
- Initial encounter for hip pain (S73.191A)
Clinical Validation Requirements
- Post-surgical follow-up notes
- Healed incision documentation
Coding Notes
Ensure the encounter type is documented as 'subsequent.'
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.
Other specific joint derangements of right hip, not elsewhere classified
M24.151Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Labral 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: Leads to incorrect treatment tracking., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to incorrect coding.
Mitigation Strategy
Always specify if the encounter is initial or subsequent., Review documentation for completeness before coding.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts accuracy of patient records.
Mitigation Strategy
Always use S73.191A or S73.191D based on encounter type.
Impact
Failure to document encounter type can lead to audit issues.
Mitigation Strategy
Implement a checklist to ensure encounter type is documented.
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 Right Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Labral Tear Right Hip
Use these documentation templates to ensure complete and accurate documentation for Labral Tear Right Hip. These templates include all required elements for proper coding and billing.
Initial encounter for right hip labral tear
Specialty: OrthopedicsRequired Elements
- Patient history of acute injury
- Physical examination findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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