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S73.101 vs S73.109

S73.101 (Unspecified sprain of right hip) compared with S73.109 (Unspecified sprain of unspecified hip), from the official CMS tabular data. S73.101 and S73.109 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S73.101
Right
Unspecified sprain of right hip
S73.109
Unspecified
Unspecified sprain of unspecified hip

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S73.101 and S73.109 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S73.101Unspecified sprain of right hipS73.109Unspecified sprain of unspecified hip
Billing statusNon-billable header

Report instead: S73.101A, S73.101D, S73.101S

Non-billable header

Report instead: S73.109A, S73.109D, S73.109S

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionUnspecified sprain of right hip is a non-billable ICD-10-CM category code (S73.101).Unspecified sprain of unspecified hip is a non-billable ICD-10-CM category code (S73.109).
7th characterThe appropriate 7th character is to be added to each code from category S73The appropriate 7th character is to be added to each code from category S73
Includes
avulsion of joint or ligament of hip
laceration of cartilage, joint or ligament of hip
sprain of cartilage, joint or ligament of hip
traumatic hemarthrosis of joint or ligament of hip
avulsion of joint or ligament of hip
laceration of cartilage, joint or ligament of hip
sprain of cartilage, joint or ligament of hip
traumatic hemarthrosis of joint or ligament of hip

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources