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ICD-10 Guide
ICD-10 CodesS72.043

S72.043

Billable

Displaced fracture of base of neck of unspecified femur

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/25/2025

Code Description

ICD-10 S72.043 is a billable code used to indicate a diagnosis of displaced fracture of base of neck of unspecified femur.

Key Diagnostic Point:

A displaced fracture of the base of the neck of the femur is a significant orthopedic injury that typically occurs due to high-energy trauma, such as falls or vehicular accidents. This type of fracture is characterized by a break in the femur just below the ball of the hip joint, which can lead to complications such as avascular necrosis, nonunion, or malunion if not properly managed. The displacement indicates that the fracture fragments have moved out of their normal alignment, which can complicate surgical intervention and recovery. Patients often present with severe hip pain, inability to bear weight, and may exhibit limb deformity. Diagnosis is confirmed through imaging studies, primarily X-rays or CT scans, which reveal the fracture's location and displacement. Treatment typically involves surgical intervention, such as internal fixation or hip replacement, depending on the patient's age, activity level, and overall health. Post-operative rehabilitation is crucial for restoring mobility and function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture presentation and displacement severity
  • Need for precise documentation of fracture type and location
  • Potential for multiple surgical interventions
  • Differentiation from similar femoral neck fractures

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to specify laterality or displacement
  • Inconsistent coding of surgical procedures
  • Misalignment with clinical notes regarding treatment

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging results, and post-operative care notes are essential.

Common Clinical Scenarios

Fractures resulting from falls in elderly patients, sports injuries in younger patients, and trauma from accidents.

Billing Considerations

Ensure accurate documentation of fracture type, displacement, and any surgical interventions performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Patients undergoing rehabilitation post-surgery for hip fractures.

Billing Considerations

Documenting the impact of the fracture on mobility and daily activities is crucial for coding.

Coding Guidelines

Inclusion Criteria

Use S72.043 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of fracture type, laterality, and displacement
  • Include any relevant surgical procedures performed

Exclusion Criteria

Do NOT use S72.043 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27125CPT Code

Total hip arthroplasty

Clinical Scenario

Used for patients with severe displacement requiring hip replacement.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Orthopedic surgeons must document the extent of the injury and rationale for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S72.043 provides detailed information about the nature of the injury, which is crucial for treatment planning and outcomes assessment.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S72.043 provides detailed information about the nature of the injury, which is crucial for treatment planning and outcomes assessment.

Reimbursement & Billing Impact

reimbursement processes. S72.043 provides detailed information about the nature of the injury, which is crucial for treatment planning and outcomes assessment.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between S72.043 and S72.041?

S72.043 refers to a displaced fracture of the base of the neck of the femur, while S72.041 refers to a non-displaced fracture. The distinction is important for treatment and coding purposes.