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2025 ICD-10-CM code S71.00

Open wound of the hip, unspecified.

Use a secondary code from Chapter 20 (External causes of morbidity) to indicate the cause of the injury.Use an additional code to identify any retained foreign body (Z18.-).

Medical necessity is established by the clinical evaluation of the open wound and the determination that the treatment provided is necessary for the patient's condition.

Clinicians should document the patient's history and physical examination, assessing nerves, bones, and blood vessels as needed. Imaging studies, like X-rays, can determine the extent of damage and check for foreign bodies. Treatment may involve controlling bleeding, cleaning the wound, removing damaged tissue, repairing the wound, applying medication and dressings, pain management, antibiotics for infection prevention, and a tetanus vaccine.

In simple words: This code represents an injury to the hip where the skin is broken, like a cut, puncture, or bite.It doesn't specify the exact type of injury.

Unspecified open wound of hip. This code describes an open wound of the hip, without specifying the nature or type of injury (e.g., laceration, puncture wound, open bite).

Example 1: A patient presents with a laceration to the hip after falling on a sharp object. The laceration is deep and requires sutures., A patient is bitten by a dog on the hip, resulting in a puncture wound. The wound is cleaned and dressed, and the patient is prescribed antibiotics., A patient falls from a bicycle and sustains an open wound to their hip. An X-ray is performed to rule out a fracture.

Documentation should include the cause, nature, and location of the injury, depth and extent of the wound, associated symptoms, treatment provided, and any diagnostic tests performed.

** Excludes1: open fracture of hip and thigh (S72.-), traumatic amputation of hip and thigh (S78.-)Excludes2: bite of venomous animal (T63.-), open wound of ankle, foot and toes (S91.-), open wound of knee and lower leg (S81.-)

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