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ICD-10 Guide
ICD-10 CodesS72.092

S72.092

Billable

Other fracture of head and neck of left femur

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

Code Description

ICD-10 S72.092 is a billable code used to indicate a diagnosis of other fracture of head and neck of left femur.

Key Diagnostic Point:

The S72.092 code refers to fractures occurring in the head and neck region of the left femur, which is a critical area for hip stability and mobility. These fractures can result from various mechanisms, including falls, direct trauma, or pathological conditions such as osteoporosis. The head of the femur is the ball that fits into the hip socket, while the neck connects the head to the shaft of the femur. Fractures in this area can lead to significant complications, including avascular necrosis, nonunion, and impaired mobility. Treatment often involves surgical intervention, such as internal fixation or hip replacement, depending on the fracture's severity and the patient's overall health. Rehabilitation is crucial for restoring function and preventing complications. Accurate coding of these fractures is essential for appropriate treatment planning and reimbursement, as they often require multidisciplinary care involving orthopedic surgeons, physical therapists, and primary care providers.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and severity
  • Need for precise documentation of fracture location
  • Potential for associated injuries (e.g., dislocations)
  • Differentiation from other femoral fractures

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to specify laterality
  • Misclassification of fracture type
  • Lack of supporting imaging reports

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and preoperative assessments are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from falls in elderly patients, sports injuries in younger patients, and pathological fractures due to osteoporosis.

Billing Considerations

Ensure that all relevant imaging studies are documented and that the type of fracture is clearly described.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals, treatment plans, and patient responses to therapy.

Common Clinical Scenarios

Post-operative rehabilitation following femoral neck fractures, including strength training and mobility exercises.

Billing Considerations

Document the patient's functional status and any complications that may affect therapy.

Coding Guidelines

Inclusion Criteria

Use S72.092 When
  • According to ICD
  • 10 guidelines, S72
  • 092 should be used when the fracture is specifically identified as 'other' and is located in the head and neck of the left femur
  • Coders must ensure that the documentation supports the diagnosis and that the fracture is not classified under more specific codes

Exclusion Criteria

Do NOT use S72.092 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27130CPT Code

Total hip arthroplasty

Clinical Scenario

Used for patients with severe femoral neck fractures requiring joint replacement.

Documentation Requirements

Operative report detailing the procedure and indications for surgery.

Specialty Considerations

Orthopedic surgeons must document the patient's preoperative condition and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of femoral fractures, improving the accuracy of patient records and facilitating better treatment planning. S72.092 provides a distinct code for fractures that may not fit into more commonly used categories, ensuring that all injuries are appropriately documented and billed.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of femoral fractures, improving the accuracy of patient records and facilitating better treatment planning. S72.092 provides a distinct code for fractures that may not fit into more commonly used categories, ensuring that all injuries are appropriately documented and billed.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of femoral fractures, improving the accuracy of patient records and facilitating better treatment planning. S72.092 provides a distinct code for fractures that may not fit into more commonly used categories, ensuring that all injuries are appropriately documented and billed.

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 significance of coding S72.092 accurately?

Accurate coding of S72.092 is crucial for appropriate treatment planning, reimbursement, and tracking of orthopedic injuries. It ensures that healthcare providers can deliver the best care based on the specific type of fracture and its associated complications.