2025 ICD-10-CM code S71
Open wound of hip and thigh. Code also any associated wound infection.
Medical necessity for treatment of an open wound of the hip and thigh is based on the severity of the injury and the potential for complications such as infection or damage to underlying structures.
Providers diagnose the condition based on the patient’s history and physical examination, particularly to assess the nerves, bones, and blood vessels, depending on the depth and severity of the wound, and imaging techniques such as X–rays to determine the extent of damage and to evaluate for foreign bodies. Treatment options include control of any bleeding; immediate thorough cleaning of the wound, surgical removal of damaged or infected tissue, and repair of the wound; application of appropriate topical medication and dressing; and analgesics and nonsteroidal anti–inflammatory drugs for pain; antibiotics to prevent or treat an infection, and administration of tetanus vaccine to prevent tetanus, a bacterial disease characterized by rigidity and involuntary contraction of voluntary muscle.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the hip and thigh (S70-S79)
In simple words: An open wound on the hip and/or thigh means an injury like a cut, puncture, or bite that breaks the skin.
An open wound of the hip and thigh refers to injuries such as lacerations, puncture wounds, or open bites of the hip and/or thigh, which break the skin and expose the underlying tissues to the air.
Example 1: A patient presents with a deep laceration to the thigh after falling on a sharp object., A patient is brought to the ER with a puncture wound to the hip after being bitten by a dog., A patient has an open wound on their hip that has become infected.
Documentation should include the type of wound (laceration, puncture, etc.), the location of the wound on the hip and/or thigh, the size and depth of the wound, any associated injuries (such as nerve or bone damage), and the presence or absence of infection.
** 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.-).
- Specialties:Emergency Medicine, General Surgery, Orthopedic Surgery
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office, Outpatient Hospital