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Z98.890
ICD-10-CM
Left Hip ORIF

Find comprehensive information on Left Hip ORIF, including clinical documentation, medical coding, and healthcare resources. Learn about ICD-10-CM codes for Left Hip ORIF, CPT codes for open reduction internal fixation of the left hip, postoperative care, and rehabilitation protocols. Explore resources for accurate medical coding and documentation of Left Hip ORIF procedures and complications. This resource provides valuable insights for physicians, coders, and healthcare professionals involved in the diagnosis and treatment of Left Hip ORIF.

Also known as

Open Reduction Internal Fixation of Left Hip
Left Hip Fracture Surgery

Diagnosis Snapshot

Key Facts
  • Definition : Surgical repair of a fractured left hip bone.
  • Clinical Signs : Left hip pain, swelling, bruising, inability to bear weight, limited range of motion.
  • Common Settings : Hospital operating room, orthopedic trauma center.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z98.890 Coding
S72.0-S72.9

Fracture of neck of femur

Fractures involving the femoral neck, including subcapital and transcervical fractures.

S72.1-S72.2

Peritrochanteric fracture

Fractures around the trochanters of the femur, excluding the neck.

S72.4-S72.7

Other fractures of femur

Fractures of other parts of the femur, like the shaft or distal end.

T84.0-T84.9

Complications of internal orthopedic devices

Potential complications related to implants used for ORIF, such as infections or mechanical failure.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the fracture traumatic?

  • Yes

    Is the fracture open?

  • No

    Is it pathological?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left Hip ORIF
Left Femoral Neck Fracture
Left Intertrochanteric Fracture

Documentation Best Practices

Documentation Checklist
  • Left hip ORIF documentation: fracture site, type, displacement
  • Surgical approach for left hip ORIF documented
  • Implants/devices used in left hip ORIF specified
  • Intraoperative findings (eg, blood loss) for left hip ORIF
  • Post-op instructions, complications for left hip ORIF noted

Coding and Audit Risks

Common Risks
  • Implant Coding

    Missing or incorrect codes for implants used during the ORIF procedure can lead to underpayment or claim denial.

  • Laterality Specificity

    Failure to accurately document and code the affected side (left hip) may result in coding errors and compliance issues.

  • Complication Coding

    Intraoperative or postoperative complications, if present, must be coded separately to accurately reflect the complexity of care.

Mitigation Tips

Best Practices
  • Accurate ICD-10-PCS coding for ORIF specifics
  • Precise fracture site documentation for proper reimbursement
  • Query physicians for clarification, improve CDI score
  • Timely coding, billing submissions ensure compliance
  • Regular coding audits minimize compliance risks

Clinical Decision Support

Checklist
  • Confirm left hip fracture diagnosis via imaging report
  • Verify surgical plan specifies ORIF procedure
  • Check pre-op checklist for completeness
  • Document left hip ORIF intraoperative findings
  • Ensure post-op care aligns with ORIF protocol

Reimbursement and Quality Metrics

Impact Summary
  • Left Hip ORIF reimbursement hinges on accurate ICD-10-CM/PCS coding (S72, Z96.64) impacting DRG assignment and payment.
  • Quality metrics for Left Hip ORIF: surgical site infection rate (SSI), time to ambulation, readmission rates affect hospital value-based purchasing.
  • Coding validation and clinical documentation improvement (CDI) crucial for maximizing Left Hip ORIF reimbursement and quality reporting.
  • Optimize Left Hip ORIF claims with proper CPT coding for procedures like 27244, 27245, impacting APC assignment and payment.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • ICD-10-CM S72.1xxA, verify displacement
  • CPT 27245 for open reduction internal fixation
  • Document fracture type, laterality, approach

Documentation Templates

Patient presents with left hip pain following a fall from standing height.  On examination, there is tenderness to palpation over the left greater trochanter and limited range of motion in the left hip due to pain.  Ecchymosis and swelling are present around the left hip joint.  Neurovascular examination of the left lower extremity reveals intact distal pulses and sensation.  Radiographic imaging of the left hip demonstrates a displaced intertrochanteric fracture.  Diagnosis of left hip intertrochanteric fracture is confirmed.  Given the displacement and patient's pain, surgical intervention is indicated.  Left hip open reduction internal fixation (ORIF) is planned.  Risks and benefits of the procedure, including infection, nonunion, hardware failure, and deep vein thrombosis, were discussed with the patient, and informed consent was obtained.  Preoperative labs and medical clearance were obtained.  The patient will be admitted for the procedure and postoperative care.  ICD-10 code S72.151A will be used for initial encounter for closed intertrochanteric fracture of left femur, initial encounter for closed fracture.  CPT codes for the ORIF procedure will be determined at the time of surgery and may include 27244, 27245, or 27248 depending on the specific technique and fixation utilized.  Postoperative physical therapy and pain management will be implemented.  Follow-up appointments will be scheduled for monitoring fracture healing and rehabilitation progress. This documentation will be updated to reflect the operative findings and postoperative course.
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