Displaced fracture of epiphysis (separation) (upper) of right femur
ICD-10 S72.021 is a billable code used to indicate a diagnosis of displaced fracture of epiphysis (separation) (upper) of right femur.
A displaced fracture of the upper epiphysis of the right femur typically occurs in the context of trauma, often seen in pediatric patients due to falls or sports injuries. This type of fracture involves the separation of the growth plate (epiphyseal plate) from the femoral head, which can lead to complications such as growth disturbances if not properly managed. Clinically, patients may present with severe pain, swelling, and an inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, primarily X-rays, which reveal the fracture's displacement and alignment. Treatment often involves orthopedic intervention, which may include closed reduction and immobilization or surgical fixation, depending on the fracture's severity and displacement. The prognosis is generally favorable with appropriate treatment, although careful monitoring is necessary to ensure proper healing and to prevent long-term complications such as avascular necrosis or limb length discrepancies.
Detailed operative notes, imaging reports, and follow-up assessments are essential.
Fractures resulting from sports injuries, falls, or vehicular accidents.
Ensure accurate documentation of fracture type, treatment plan, and any complications.
Growth and development assessments, detailed injury history, and treatment plans.
Injuries from playground accidents or sports activities.
Consider the impact of growth plate injuries on future development.
Used when surgical intervention is required for displaced fractures.
Operative report detailing the procedure, findings, and post-operative care.
Orthopedic surgeons must document the specifics of the fracture and the surgical approach.
Coding the fracture as displaced is crucial as it indicates the severity of the injury and the potential need for surgical intervention, which impacts treatment decisions and billing.
