S71.011S
S71.011S — Laceration without foreign body, right hip, sequela
Billable / specific codeICD-10-CMPOA exemptright
S71.011S is a billable, specific ICD-10-CM code for laceration without foreign body, right hip, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S71
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S71.011S does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S71.011S is named in 8 Medicare coverage policies — 7 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S71.011. If S71.011S is not quite right, the correct code is usually one of these.
Questions about S71.011S
- Is S71.011S a billable ICD-10-CM code?
- Yes. S71.011S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S71.011S sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).