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ICD-10 Guide
ICD-10 CodesS72.002

S72.002

Billable

Fracture of unspecified part of neck of left femur

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

Code Description

ICD-10 S72.002 is a billable code used to indicate a diagnosis of fracture of unspecified part of neck of left femur.

Key Diagnostic Point:

The S72.002 code refers to a fracture of the neck of the left femur, which is a common injury, particularly in older adults due to falls or osteoporosis. The neck of the femur is the area just below the ball of the hip joint, and fractures here can significantly impact mobility and quality of life. These fractures can be classified as intracapsular or extracapsular, with the former being more common and often requiring surgical intervention. 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 status, ranging from conservative management with physical therapy to surgical options like hip replacement or internal fixation. Understanding the specifics of the fracture location is crucial for treatment planning and rehabilitation, as well as for accurate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Need for precise documentation of fracture details
  • Potential for multiple associated injuries
  • Differentiation from similar codes

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to specify laterality
  • Misclassification of fracture type
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of hip fractures, management of post-operative complications.

Billing Considerations

Ensure that the surgical approach and any hardware used are documented for accurate coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Rehabilitation post-surgery for hip fractures, management of pain and mobility.

Billing Considerations

Documenting patient progress and therapy outcomes is crucial for coding and billing.

Coding Guidelines

Inclusion Criteria

Use S72.002 When
  • According to ICD
  • 10 guidelines, this code should be used when the specific part of the neck of the femur is not documented
  • If the fracture type is specified, a more specific code should be used
  • Ensure that the documentation supports the diagnosis and treatment provided

Exclusion Criteria

Do NOT use S72.002 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27130CPT Code

Total hip arthroplasty

Clinical Scenario

Used for surgical treatment of severe neck fractures.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the indication for surgery and post-operative care.

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 patient records and billing. S72.002 provides a clear framework for coding neck fractures, which can enhance treatment planning and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and billing. S72.002 provides a clear framework for coding neck fractures, which can enhance treatment planning and outcomes.

Reimbursement & Billing Impact

billing. S72.002 provides a clear framework for coding neck fractures, which can enhance treatment planning and outcomes.

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 importance of specifying the part of the femur in coding?

Specifying the part of the femur is crucial for accurate treatment planning and reimbursement. Different parts of the femur may require different surgical approaches and rehabilitation strategies.