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    OpenPayerBilling CodesInjuries to the hip and thighICD-10-CM s74-injury-of-nerves-hip-thigh
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    ICD-10-CM Code For Injury Of Nerves At Hip And Thigh Level: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S74 includes traumatic injuries to peripheral nerves at the hip and thigh level, such as laceration, contusion, and compression of nerves that supply the proximal lower extremity. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving nerve damage from trauma, including the extent of injury and associated complications like neuropathy or motor deficits. Accurate coding within the ICD-10-CM S74 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM S74: Injury of Nerves At Hip And Thigh Level Overview

    This group includes diagnoses for traumatic injuries to peripheral nerves at the hip and thigh level, affecting motor and sensory function of the lower extremity. It targets the peripheral nervous system structures in the proximal leg and may result from contusion, laceration, compression, or stretch. Accurate coding is important for correct claim processing and to capture the clinical complexity that affects treatment decisions and reimbursement.

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    When to Use

    Use codes from this group when a documented traumatic nerve injury at the hip or thigh level is the primary clinical finding, including specified nerve involvement and laterality. Select the most specific code reflecting the type of injury, associated complications, and whether the encounter is initial, subsequent, or for sequela.

    ICD-10-CM Codes

    45 rows

    ICD-10-CM CodeDescription
    S74.00XAInjury of sciatic nerve at hip and thigh level, unspecified leg, initial encounter
    S74.00XDInjury of sciatic nerve at hip and thigh level, unspecified leg, subsequent encounter
    S74.00XSInjury of sciatic nerve at hip and thigh level, unspecified leg, sequela
    S74.01XAInjury of sciatic nerve at hip and thigh level, right leg, initial encounter
    S74.01XDInjury of sciatic nerve at hip and thigh level, right leg, subsequent encounter
    S74.01XSInjury of sciatic nerve at hip and thigh level, right leg, sequela
    S74.02XAInjury of sciatic nerve at hip and thigh level, left leg, initial encounter
    S74.02XDInjury of sciatic nerve at hip and thigh level, left leg, subsequent encounter
    S74.02XSInjury of sciatic nerve at hip and thigh level, left leg, sequela
    S74.10XAInjury of femoral nerve at hip and thigh level, unspecified leg, initial encounter
    S74.10XDInjury of femoral nerve at hip and thigh level, unspecified leg, subsequent encounter
    S74.10XSInjury of femoral nerve at hip and thigh level, unspecified leg, sequela
    S74.11XAInjury of femoral nerve at hip and thigh level, right leg, initial encounter
    S74.11XDInjury of femoral nerve at hip and thigh level, right leg, subsequent encounter
    S74.11XSInjury of femoral nerve at hip and thigh level, right leg, sequela
    S74.12XAInjury of femoral nerve at hip and thigh level, left leg, initial encounter
    S74.12XDInjury of femoral nerve at hip and thigh level, left leg, subsequent encounter
    S74.12XSInjury of femoral nerve at hip and thigh level, left leg, sequela
    S74.20XAInjury of cutaneous sensory nerve at hip and thigh level, unspecified leg, initial encounter
    S74.20XDInjury of cutaneous sensory nerve at hip and thigh level, unspecified leg, subsequent encounter

    Showing 1–20 of 45

    DRG Codes

    10 rows

    DRG CodeDescription
    073Cranial and Peripheral Nerve Disorders with MCC
    074Cranial and Peripheral Nerve Disorders without MCC
    091Other Disorders of Nervous System with MCC
    092Other Disorders of Nervous System with CC
    093Other Disorders of Nervous System without CC/MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC
    963Other Multiple Significant Trauma with MCC
    964Other Multiple Significant Trauma with CC
    965Other Multiple Significant Trauma without CC/MCC

    Typical Clinical Scenarios

    • An adult presents to the emergency department after a high-speed motor vehicle collision with severe lateral hip pain, numbness over the lateral thigh, and weakness when attempting hip abduction. Imaging reveals a displaced acetabular fracture with associated traumatic injury to the superior gluteal nerve at the hip level; the encounter is for initial emergency treatment of the nerve injury. Typical codes: S74.10XA, S74.11XA
    • A middle-aged patient develops persistent burning pain and paresthesia along the posterior thigh months after a posterior hip dislocation that was initially reduced; they are seen in a specialty clinic for ongoing neuropathic symptoms and electrodiagnostic testing confirms chronic injury to the sciatic nerve branches at the thigh level. This visit documents the subsequent encounter for continued management of the established nerve injury. Typical codes: S74.20XD, S74.21XD
    • An elderly patient hospitalized for surgical repair of a femoral neck fracture develops new foot drop and sensory loss in the lower leg postoperatively; the treating team documents this as a complication of the hip injury/surgery with iatrogenic injury to the nerve at the thigh. The record reflects active treatment during the inpatient stay for the nerve injury as a complication. Typical codes: S74.90XS, S74.91XS

    Related Codes

    S70-SUPERFICIAL-INJURY-OF-HIP-AND-THIGH

    ICD-10-CM Code For Superficial Injury Of Hip And Thigh: Group Overview

    S71-OPEN-WOUND-OF-HIP-AND-THIGH

    ICD-10-CM Code For Open Wound Of Hip And Thigh: Group Overview

    S72-FRACTURE-OF-FEMUR

    ICD-10-CM Code For Fracture Of Femur: Group Overview

    S73-DISLOCATION-AND-SPRAIN-OF-HIP

    ICD-10-CM Code For Dislocation And Sprain Of Joint And Ligaments Of Hip: Group Overview

    S75-INJURY-OF-BLOOD-VESSELS-HIP-THIGH

    ICD-10-CM Code For Injury Of Blood Vessels At Hip And Thigh Level: Group Overview

    S76-INJURY-OF-MUSCLE-FASCIA-AND-TENDON-HIP-THIGH

    ICD-10-CM Code For Injury Of Muscle Fascia And Tendon At Hip And Thigh Level: Group Overview

    S77-CRUSHING-INJURY-OF-HIP-AND-THIGH

    ICD-10-CM Code For Crushing Injury Of Hip And Thigh: Group Overview

    S78-TRAUMATIC-AMPUTATION-OF-HIP-AND-THIGH

    ICD-10-CM Code For Traumatic Amputation Of Hip And Thigh: Group Overview

    S79-OTHER-AND-UNSPECIFIED-INJURIES-HIP-THIGH

    ICD-10-CM Code For Other And Unspecified Injuries Of Hip And Thigh: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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