S71.019A — Laceration without foreign body, unspecified hip, initial encounter
S71.019A is a billable, specific ICD-10-CM code for laceration without foreign body, unspecified hip, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S71
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S71.019A 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
S71.019A is named in 2 Medicare coverage policies — 0 listing it as supporting medical necessity, and 2 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
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
Related codes at this level
Codes that share S71.019. If S71.019A is not quite right, the correct code is usually one of these.
Questions about S71.019A
- Is S71.019A a billable ICD-10-CM code?
- Yes. S71.019A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S71.019A 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).