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ICD-10 Guide
ICD-10 CodesS72.101

S72.101

Billable

Unspecified trochanteric fracture of right femur

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

Code Description

ICD-10 S72.101 is a billable code used to indicate a diagnosis of unspecified trochanteric fracture of right femur.

Key Diagnostic Point:

A trochanteric fracture of the femur refers to a break in the upper part of the femur, specifically around the greater or lesser trochanter. These fractures are often associated with falls, particularly in elderly patients, and can lead to significant morbidity due to complications such as immobility and increased risk of further fractures. The unspecified nature of this code indicates that the exact location of the fracture within the trochanteric region is not detailed, which can complicate treatment planning and prognosis. Trochanteric fractures are typically classified as extracapsular fractures and may require surgical intervention, such as internal fixation, to stabilize the bone and facilitate healing. The right femur designation is crucial for accurate coding and treatment, as it impacts surgical approach and rehabilitation strategies. Understanding the mechanism of injury, patient demographics, and associated conditions is essential for effective management and coding of these injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture classification and location
  • Need for precise documentation of injury mechanism
  • Potential for associated injuries in the hip region
  • Variability in treatment approaches and surgical interventions

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to document the mechanism of injury
  • Lack of clarity on associated injuries
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments are essential.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of fracture type and surgical approach to avoid coding errors.

Emergency Medicine

Documentation Requirements

Thorough documentation of patient history, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

Initial evaluation and stabilization of patients with suspected hip fractures.

Billing Considerations

Documenting the patient's functional status and any pre-existing conditions that may affect treatment.

Coding Guidelines

Inclusion Criteria

Use S72.101 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated injuries
  • This code is included under the category for femoral neck and trochanteric fractures

Exclusion Criteria

Do NOT use S72.101 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27125CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used when surgical intervention is required for a trochanteric fracture.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding of the procedure performed.

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 granularity of data for treatment outcomes and resource allocation. S72.101 provides a clear designation for unspecified trochanteric fractures, aiding in tracking and management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data for treatment outcomes and resource allocation. S72.101 provides a clear designation for unspecified trochanteric fractures, aiding in tracking and management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data for treatment outcomes and resource allocation. S72.101 provides a clear designation for unspecified trochanteric fractures, aiding in tracking and management.

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 an unspecified trochanteric fracture?

Coding an unspecified trochanteric fracture indicates that the exact location of the fracture is not detailed, which can affect treatment planning and outcomes. It is essential to document as much detail as possible to ensure appropriate care.