Is S71.119S a billable ICD-10-CM code?

Yes. S71.119S is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S71.119S 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).

What cannot be coded together with S71.119S?

S71.119S carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S71.119S (S71) and apply to it just the same.

S71.119S

S71.119S — Laceration without foreign body, unspecified thigh, sequela

Billable / specific codeICD-10-CMPOA exempt

S71.119S is a billable, specific ICD-10-CM code for laceration without foreign body, unspecified thigh, 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

Excludes1 inherited from the categories above S71.119S

These are not written on S71.119S, but they bind it: a note on a category applies to every code beneath it. Billing S71.119S with anything listed here is a denial.

Written on S71 — Open wound of hip and thigh

open fracture of hip and thigh (S72.-)
traumatic amputation of hip and thigh (S78.-)

Excludes2 inherited from the categories above S71.119S

Also inherited, and the opposite of Excludes1: these conditions are not part of S71.119S, but a patient can have both, so you may code both.

Written on S71 — Open wound of hip and thigh

bite of venomous animal (T63.-)
open wound of ankle, foot and toes (S91.-)
open wound of knee and lower leg (S81.-)

Risk adjustment

S71.119S 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

S71.119S is named in 2 Medicare coverage policies — 1 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
A53064Billing and Coding: Outpatient Occupational Therapy

Code history

S71.119S has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share S71.119. If S71.119S is not quite right, the correct code is usually one of these.

Questions about S71.119S

Is S71.119S a billable ICD-10-CM code?: Yes. S71.119S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S71.119S 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).
What cannot be coded together with S71.119S?: S71.119S carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S71.119S (S71) and apply to it just the same.