2025 ICD-10-CM code S73.111
(Active) Effective Date: N/A Injury, poisoning and certain other consequences of external causes - Injuries to the hip and thigh 19 Feed
Sprain of the iliofemoral ligament of the right hip.
The 7th character should be added to indicate the encounter type: A (initial encounter), D (subsequent encounter), or S (sequela).
Medical necessity is established by the documentation supporting the diagnosis of a right hip iliofemoral ligament sprain. This includes a clear description of the injury mechanism and associated symptoms.
The physician is responsible for documenting the diagnosis of a right hip iliofemoral ligament sprain. This includes a detailed history, physical exam, and any imaging studies used to confirm the diagnosis.
In simple words: Right hip sprain affecting the iliofemoral ligament.
Sprain of the iliofemoral ligament of the right hip. Includes avulsion, laceration, sprain, traumatic hemarthrosis, traumatic rupture, traumatic subluxation, and traumatic tear of the joint or ligament of the hip.
Example 1: A 25-year-old male presents to the emergency room after falling during a basketball game. He reports immediate pain in his right hip. Upon examination, there is tenderness to palpation over the right hip joint and limited range of motion. An X-ray is negative for fracture, and an MRI reveals a sprain of the iliofemoral ligament. The diagnosis is S73.111., A 40-year-old female slips on ice and falls, landing on her right hip. She experiences immediate pain and is unable to bear weight. In the emergency room, she undergoes imaging studies that reveal an iliofemoral ligament sprain. The diagnosis is S73.111. , A 60-year-old male with a history of osteoarthritis presents with worsening right hip pain after twisting his hip while getting out of bed.An MRI shows an acute sprain of the iliofemoral ligament superimposed on his underlying degenerative changes. The diagnosis is S73.111, along with a code for his osteoarthritis.
Documentation should include details of the incident causing the injury, physical exam findings (tenderness, range of motion limitations, swelling), and results of imaging studies (X-ray, MRI).
** Excludes birth trauma (P10-P15) and obstetric trauma (O70-O71). Also excludes burns and corrosions (T20-T32), frostbite (T33-T34), snake bite (T63.0-), and venomous insect bite or sting (T63.4-).
- Payment Status: Active
- Specialties:Orthopedic surgery, Emergency medicine, Family medicine, Sports medicine
- Place of Service:Emergency Room - Hospital, Office, Inpatient Hospital, Outpatient Hospital, Independent Clinic