S73.004A — Unspecified dislocation of right hip, initial encounter
S73.004A is a billable, specific ICD-10-CM code for unspecified dislocation of right 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 S73
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S73.004A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 402 Hip Fracture/Dislocation0.467 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
S73.004A is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S73.004. If S73.004A is not quite right, the correct code is usually one of these.
Questions about S73.004A
- Is S73.004A a billable ICD-10-CM code?
- Yes. S73.004A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S73.004A 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).