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    OpenPayerBilling CodesInjuries to the hip and thighICD-10-CM s77-crushing-injury-of-hip-and-thigh
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    ICD-10-CM Code For Crushing Injury Of Hip And Thigh: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S77 includes crushing injuries to the hip and thigh region, covering compressive trauma to muscles, soft tissues, bones, joints, nerves, and blood vessels of the hip and thigh. These ICD-10-CM diagnosis codes are used to document clinical scenarios such as traumatic compression injuries from machinery, vehicle accidents, or falls, capturing severity, affected anatomical structures, and complications like neurovascular compromise. Accurate coding within the ICD-10-CM S77 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM S77: Crushing Injury Of Hip And Thigh Overview

    The ICD-10-CM S77 code group captures crushing injuries to the hip and thigh, including soft tissue and musculoskeletal damage from compressive forces. These diagnoses target the musculoskeletal system—specifically the hip and thigh region—and can involve skin, muscle, bone, joints, nerves, and blood vessels. Accurate coding matters for reimbursement because it documents injury severity and resource needs, which support correct claim adjudication and medical necessity.

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    When to Use

    Use a code from this group when a patient sustains a documented crushing injury localized to the hip or thigh with clinical findings consistent with compression-related trauma. Select codes that reflect the exact site, laterality, encounter (initial, subsequent, sequela), and any associated fractures, open wounds, or neurovascular compromise as documented in the medical record.

    ICD-10-CM Codes

    27 rows

    ICD-10-CM CodeDescription
    S77.00XACrushing injury of unspecified hip, initial encounter
    S77.00XDCrushing injury of unspecified hip, subsequent encounter
    S77.00XSCrushing injury of unspecified hip, sequela
    S77.01XACrushing injury of right hip, initial encounter
    S77.01XDCrushing injury of right hip, subsequent encounter
    S77.01XSCrushing injury of right hip, sequela
    S77.02XACrushing injury of left hip, initial encounter
    S77.02XDCrushing injury of left hip, subsequent encounter
    S77.02XSCrushing injury of left hip, sequela
    S77.10XACrushing injury of unspecified thigh, initial encounter
    S77.10XDCrushing injury of unspecified thigh, subsequent encounter
    S77.10XSCrushing injury of unspecified thigh, sequela
    S77.11XACrushing injury of right thigh, initial encounter
    S77.11XDCrushing injury of right thigh, subsequent encounter
    S77.11XSCrushing injury of right thigh, sequela
    S77.12XACrushing injury of left thigh, initial encounter
    S77.12XDCrushing injury of left thigh, subsequent encounter
    S77.12XSCrushing injury of left thigh, sequela
    S77.20XACrushing injury of unspecified hip with thigh, initial encounter
    S77.20XDCrushing injury of unspecified hip with thigh, subsequent encounter

    Showing 1–20 of 27

    DRG Codes

    9 rows

    DRG CodeDescription
    604Trauma to the Skin, Subcutaneous Tissue and Breast with MCC
    605Trauma to the Skin, Subcutaneous Tissue and Breast without MCC
    913Traumatic Injury with MCC
    914Traumatic Injury without 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 construction worker involved in a high-energy crush accident when a heavy steel beam falls onto the lateral thigh and hip area, presenting to the emergency department with severe pain, swelling, ecchymosis, and inability to bear weight. Imaging shows soft tissue crush injury with significant contusion and concern for compartment syndrome; initial management focuses on stabilization and surgical consultation. A code for an initial encounter for crushing injury of the hip and thigh is assigned. Typical codes: S77.00XA, S77.10XA
    • An elderly patient living in a nursing facility is found after prolonged entrapment between a bed rail and chair, with persistent localized soft tissue damage to the thigh and hip and evolving necrosis over days; they are admitted for wound care and debridement. Because this is a subsequent encounter for ongoing treatment of the crush injury rather than the first emergency visit, a subsequent care code is used to reflect continued management. Typical codes: S77.00XD, S77.11XD
    • A middle-aged patient previously treated surgically for an acute crushing injury to the hip and thigh returns months later with reduced range of motion, chronic soft tissue scarring, and hardware-related pain requiring evaluation and treatment for complications of the prior crush. A code for sequela (late effect) of the crushing injury is assigned to capture the chronic condition related to the original traumatic event. Typical codes: S77.00XS, S77.12XS

    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

    S74-INJURY-OF-NERVES-HIP-THIGH

    ICD-10-CM Code For Injury Of Nerves At Hip And Thigh Level: 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

    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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