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ICD-10 Guide
DiagnosesLeft Hip Fracture Due To Fall

Left Hip Fracture Due To Fall

ICD-10 Coding for Left Hip Fracture Due to Fall(S72.002A, S72.102A)

PRIMARY SPECIALTYOrthopedics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Left Hip Fracture Due To Fall?
Essential facts and insights about Left Hip Fracture Due to Fall

Key Clinical Considerations:

  • Severe pain in the left hip or groin area
  • Inability to bear weight on the affected leg
  • Swelling and bruising around the hip joint

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of fall leading to injury
  • Details of physical examination findings
  • Imaging results confirming fracture type and location

Coding Guidelines

Usage Guidelines & Examples

  • Follow usage guidelines for specific fracture types to ensure correct coding.
  • Common errors include misclassifying the fracture type or encounter status.

Code Exclusions

Important Exclusions

  • Fractures due to pathological causes
  • Alternative codes for right hip fractures or other injuries

Related ICD-10 Codes

Primary Codes
S72.002A
Fracture of unspecified part of neck of left femur, initial encounter for closed fracture
S72.001A
Fracture of head of left femur, initial encounter for closed fracture
Ancillary Codes
W19.XXXA
Y92.010
Differential Codes
S72.102A
S72.002A

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Orthopedics

Specialty Applications

  • Elderly patients with a history of falls
  • Patients in emergency and orthopedic settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Include details of the mechanism of injury, physical exam findings, and imaging results.

What are the billing considerations?

Ensure accurate coding based on fracture type and encounter status to avoid claim denials.