Unspecified trochanteric fracture of unspecified femur
ICD-10 S72.109 is a billable code used to indicate a diagnosis of unspecified trochanteric fracture of unspecified femur.
A trochanteric fracture refers to a fracture that occurs in the region of the femur near the greater or lesser trochanter, which are bony prominences located at the proximal end of the femur. These fractures are often associated with falls, particularly in elderly patients, and can lead to significant morbidity due to complications such as immobility, pain, and the risk of further injuries. The unspecified nature of this code indicates that the specific location of the fracture within the trochanteric region has not been documented, which can complicate treatment and rehabilitation strategies. Management typically involves orthopedic intervention, which may include surgical fixation or conservative treatment depending on the patient's overall health, age, and activity level. Accurate coding is essential for proper reimbursement and to reflect the severity of the injury in clinical records.
Detailed operative notes, imaging reports, and follow-up assessments are essential for accurate coding.
Patients presenting with hip pain after a fall, requiring surgical intervention for fracture stabilization.
Ensure that all relevant imaging studies and surgical details are documented to support the diagnosis.
Thorough documentation of the patient's history, physical examination findings, and initial treatment provided in the emergency department.
Patients presenting with acute hip pain and suspected fractures after trauma.
Document the mechanism of injury and any imaging performed to support the diagnosis.
Used when surgical intervention is required for a trochanteric fracture.
Operative report detailing the procedure and indication for surgery.
Orthopedic surgeons must ensure that the diagnosis aligns with the surgical procedure performed.
Use S72.109 when the documentation does not specify the exact location of the trochanteric fracture, and no other specific codes apply.
