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ICD-10 Guide
ICD-10 CodesS72.063

S72.063

Billable

Displaced articular fracture of head of unspecified femur

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

Code Description

ICD-10 S72.063 is a billable code used to indicate a diagnosis of displaced articular fracture of head of unspecified femur.

Key Diagnostic Point:

A displaced articular fracture of the head of the femur is a serious orthopedic injury that typically occurs due to high-energy trauma, such as falls or vehicular accidents. This type of fracture involves a break in the bone that disrupts the joint surface, leading to potential complications such as avascular necrosis, post-traumatic arthritis, and impaired mobility. The head of the femur is crucial for hip joint function, and displacement can significantly affect the alignment and stability of the hip joint. Diagnosis is usually confirmed through imaging studies, including X-rays or MRI, which help assess the extent of the fracture and any associated injuries. Treatment often involves surgical intervention, such as open reduction and internal fixation (ORIF), to realign the bone fragments and stabilize the joint. Post-operative rehabilitation is essential for restoring function and strength to the hip joint, and the prognosis depends on the severity of the fracture and the patient's overall health.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires precise documentation of fracture type and displacement.
  • Differentiation from non-displaced fractures and other femoral injuries.
  • Potential for multiple associated injuries in trauma cases.
  • Need for detailed imaging reports to support coding.

Audit Risk Factors

  • Inadequate documentation of fracture specifics.
  • Failure to capture associated injuries or complications.
  • Misinterpretation of imaging results.
  • Inconsistent coding practices across providers.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from falls in elderly patients, high-energy trauma in younger patients, and complications such as avascular necrosis.

Billing Considerations

Ensure that all relevant details about the fracture type, displacement, and surgical intervention are documented.

Emergency Medicine

Documentation Requirements

Thorough documentation of initial assessment, imaging results, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with hip pain after trauma, requiring imaging and potential referral to orthopedic surgery.

Billing Considerations

Accurate coding relies on clear documentation of the mechanism of injury and initial findings.

Coding Guidelines

Inclusion Criteria

Use S72.063 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the fracture type, displacement, and any associated injuries
  • Include details from imaging studies and surgical reports to support coding decisions

Exclusion Criteria

Do NOT use S72.063 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27125CPT Code

Total hip arthroplasty

Clinical Scenario

Used in cases where fracture repair is not feasible due to severe displacement or bone loss.

Documentation Requirements

Operative report detailing the procedure and indications for surgery.

Specialty Considerations

Orthopedic surgeons must document the decision-making process for surgical intervention.

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 claims and facilitating better patient care through detailed documentation of injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and facilitating better patient care through detailed documentation of injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and facilitating better patient care through detailed documentation of injuries.

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 S72.063 and S72.061?

S72.063 refers to a displaced articular fracture of the head of the unspecified femur, while S72.061 specifies a displaced fracture of the head of the right femur.