2025 ICD-10-CM code S79.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Other specified injuries of hip and thigh Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Other specified injuries of the hip and/or thigh.
Modifiers may apply depending on the specific circumstances of the encounter and the services rendered. Consult current modifier guidelines for appropriate usage.
Medical necessity is established by the presence of a documented injury to the hip and/or thigh resulting from a traumatic event, requiring diagnostic testing and/or treatment interventions to address pain, dysfunction, and prevent long-term complications.
Diagnosis is based on patient history, physical examination (assessing wounds, nerves, and blood supply), imaging (X-rays, MRI, potentially arthrography), and lab tests as needed. Treatment may include conservative management (RICE), bracing/casting, surgery, pain medication (analgesics, NSAIDs), corticosteroids, muscle relaxants, anticoagulants/thrombolytics, and physical therapy.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the hip and thigh (S70-S79)
In simple words: This code is for injuries to your hip and/or thigh caused by things like a fall, a crush injury, an accident, or an injury from sports or work.The doctor specifies the type of injury, which is not covered by other similar codes.This injury might cause pain, swelling, bruising, or trouble walking.
This code signifies damage to the hip and/or thigh resulting from trauma, such as falls, crush injuries, accidents, abuse, or work/sports-related incidents.The injury type is specified but doesn't fit into other categories within this classification.Potential complications include pain, swelling, bruising, deformity, warmth, stiffness, tenderness, mobility issues, restricted range of motion, muscle spasms, nerve injury symptoms (numbness/tingling), and avascular necrosis (bone death due to lack of blood supply).
Example 1: A patient falls from a ladder, resulting in a displaced fracture of the femoral neck (S72.0).S79.8 is used to specify the type of fracture which does not have a specific code. A secondary code from Chapter 20 would specify the cause (fall from ladder)., A child suffers a hip dislocation (S73.0) due to physical abuse.The code S79.8 is added to better describe the injury., A patient is involved in a motor vehicle accident and sustains a severe contusion to the thigh (S79.8) requiring extensive physiotherapy. S79.8 would be used to specify the nature of the injury while secondary codes from Chapter 20 would indicate cause (motor vehicle accident).
Detailed patient history of the traumatic event, physical examination findings (including location, size, and type of injury; range of motion; neurovascular status), imaging reports (X-rays, MRI, arthrography if performed), and relevant lab results.
** This code is for unspecified injuries of the hip and/or thigh that don't neatly fit into other specific injury categories within the S70-S79 range.Always ensure complete documentation to support the chosen code.
- Payment Status: Active
- Modifier TC rule: The application of a technical component (TC) modifier depends on the specific services provided. Refer to the CPT code(s) used in conjunction with S79.8 to determine TC modifier applicability.
- Specialties:Orthopedics, Emergency Medicine, Trauma Surgery
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office, Outpatient Hospital