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v1.0.0
ICD-10 Guide
ICD-10 CodesS72.001

S72.001

Billable

Fracture of unspecified part of neck of right femur

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

Code Description

ICD-10 S72.001 is a billable code used to indicate a diagnosis of fracture of unspecified part of neck of right femur.

Key Diagnostic Point:

The S72.001 code refers to a fracture of the neck of the right femur, which is a common injury, particularly in older adults due to falls or osteoporosis. The neck of the femur is the region just below the ball of the hip joint, and fractures in this area can significantly impact mobility and quality of life. These fractures can be classified as intracapsular or extracapsular, with the former often leading to complications such as avascular necrosis due to disrupted blood supply. Symptoms typically include severe hip pain, inability to bear weight, and leg positioning that may appear externally rotated. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI. Treatment options vary based on the fracture type and patient health, ranging from conservative management with pain control and physical therapy to surgical interventions like internal fixation or hip replacement. Understanding the nuances of this code is crucial for accurate billing and patient care management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types (intracapsular vs. extracapsular)
  • Need for precise documentation of fracture location
  • Potential for complications affecting coding (e.g., avascular necrosis)
  • Differentiation from other femoral fractures

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to capture associated injuries or complications
  • Incorrect coding of laterality (right vs. left)
  • Misinterpretation of imaging results

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of neck of femur fractures, management of complications like non-union.

Billing Considerations

Ensure accurate documentation of fracture type and treatment approach to support coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Rehabilitation following surgical intervention for hip fractures.

Billing Considerations

Documenting the impact of the fracture on mobility and rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use S72.001 When
  • Follow ICD
  • CM guidelines for coding fractures, including specificity regarding laterality and fracture type
  • Ensure to document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S72.001 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27125CPT Code

Total hip arthroplasty

Clinical Scenario

Used for surgical treatment of neck of femur fractures.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the fracture type and surgical approach.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and billing. S72.001 provides a clear framework for documenting neck of femur fractures, which is essential for quality patient care and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and billing. S72.001 provides a clear framework for documenting neck of femur fractures, which is essential for quality patient care and reimbursement.

Reimbursement & Billing Impact

billing. S72.001 provides a clear framework for documenting neck of femur fractures, which is essential for quality patient care and reimbursement.

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 S72.001 and S72.002?

S72.001 refers to a fracture of the neck of the right femur, while S72.002 pertains to the left femur. Accurate documentation of laterality is crucial for correct coding.