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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:

Right Hip Labrum TearAcetabular Labral Tear

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

CodeDescriptionWhen to UseKey Documentation
S73.191AOther sprain of right hip, initial encounterUse for initial encounter of a traumatic right hip labral tear.
  • MRI or MRA findings confirming labral tear
  • Positive Fitzgerald test
S73.191DOther sprain of right hip, subsequent encounterUse for follow-up visits after initial treatment or surgery.
  • Post-surgical follow-up notes
  • Healed incision documentation

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

The ICD-10 code for a right hip labral tear is S73.191A for initial encounters and S73.191D for subsequent encounters.

Primary ICD-10-CM Codes for labral tear right hip

Other sprain of right hip, initial encounter
Billable Code

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

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.'

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Personal history of traumatic hip dislocation

Z87.81
Use if there is a documented history of hip dislocation.

Pain in right hip

M25.551
Use if pain persists and etiology is unclear.

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

M24.151
Used for chronic degenerative tears without trauma.

Documentation & 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: Orthopedics

Required Elements

  • Patient history of acute injury
  • Physical examination findings
  • Imaging results
  • Treatment plan

Example Documentation

Patient presents with acute right hip pain after soccer injury. Positive Fitzgerald test. MRA confirms anterosuperior labral tear. Plan for conservative management with PT.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Right hip pain.
Good Documentation Example
Acute right hip pain after soccer injury, positive Fitzgerald test, MRA confirms anterosuperior labral tear.
Explanation
The good example provides specific details about the injury, test results, and imaging findings.

Need help with ICD-10 coding for Labral Tear Right Hip? Ask your questions below.

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