2025 ICD-10-CM code S71.02
(Valid) Effective Date: N/A Injury, poisoning and certain other consequences of external causes - Open wound of hip and thigh 19 Feed
Laceration with foreign body of the hip.
Medical necessity for treatment is established by the presence of the laceration and foreign body. The documentation should support the need for intervention such as foreign body removal, wound repair, or infection prevention.
Physicians diagnose this condition through patient history and physical examination, focusing on the nerves, bones, and blood vessels around the wound. Imaging, like X-rays, helps determine the damage and locate foreign bodies. Treatment involves controlling bleeding, meticulously cleaning the wound, removing the foreign body (potentially surgically), repairing the wound, applying medication and dressings, and providing pain relief and antibiotics.
In simple words: A laceration with a foreign body in the hip is a cut or tear in the hip's skin, often deep and jagged, with something stuck inside. It usually happens because of a forceful injury.
A laceration with a foreign body in the hip describes a cut or tear in the skin of the hip, often irregular and deep, accompanied by a retained foreign object. This injury typically results from blunt or penetrating trauma.
Example 1: A patient falls on a sharp object, resulting in a deep laceration to the hip with a piece of the object embedded in the wound., During a motor vehicle accident, a passenger sustains a laceration to their hip with glass fragments lodged in the wound., A construction worker is injured by a flying piece of metal that penetrates their hip, causing a laceration and retaining the metal fragment.
Documentation should include details of the injury mechanism, wound characteristics (depth, size, location), presence and description of any foreign body, associated symptoms, and treatment provided (wound cleaning, foreign body removal, wound repair, medications). Imaging reports should also be included.
** Excludes1: birth trauma (P10-P15), obstetric trauma (O70-O71). Excludes2: burns and corrosions (T20-T32), frostbite (T33-T34), snake bite (T63.0-), venomous insect bite or sting (T63.4-).
- Specialties:Emergency Medicine, Trauma Surgery, Orthopedic Surgery, General Surgery
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office, Outpatient Hospital, Urgent Care Facility