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ICD-10 Guide
ICD-10 CodesS72.034

S72.034

Billable

Nondisplaced midcervical fracture of right femur

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

Code Description

ICD-10 S72.034 is a billable code used to indicate a diagnosis of nondisplaced midcervical fracture of right femur.

Key Diagnostic Point:

A nondisplaced midcervical fracture of the right femur refers to a break in the femur that occurs in the midcervical region, which is located just below the neck of the femur. This type of fracture is characterized by the absence of displacement, meaning the bone fragments remain in their normal anatomical position. Such fractures are commonly associated with low-energy trauma, particularly in older adults with osteoporotic bones. Symptoms typically include localized pain, swelling, and limited mobility of the hip joint. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI. Treatment often involves conservative management, including pain control, physical therapy, and in some cases, surgical intervention may be necessary to stabilize the fracture. Understanding the nuances of this fracture type is crucial for appropriate coding and management, as it can significantly impact treatment plans and patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the specific anatomical location of the fracture
  • Variability in treatment approaches based on patient age and health status
  • Documentation requirements for imaging and clinical findings

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries or co-morbidities
  • Misclassification of fracture displacement status
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of femoral fractures, management of complications such as non-union or malunion.

Billing Considerations

Ensure accurate coding of surgical procedures performed in conjunction with fracture repair.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Rehabilitation following femur fractures, pain management strategies.

Billing Considerations

Documenting the impact of the fracture on daily activities and rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use S72.034 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include relevant imaging studies and clinical findings to support the diagnosis

Exclusion Criteria

Do NOT use S72.034 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used when surgical intervention is required for a nondisplaced midcervical fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic documentation must include pre-operative assessments and post-operative care plans.

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 treatment plans. S72.034 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for appropriate management and reimbursement.

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 treatment plans. S72.034 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for appropriate management and reimbursement.

Reimbursement & Billing Impact

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 a displaced and nondisplaced midcervical fracture?

A displaced fracture involves a separation of the bone fragments, while a nondisplaced fracture means the bone remains in its normal alignment despite the break.