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ICD-10 Guide
ICD-10 CodesS72.112

S72.112

Billable

Displaced fracture of greater trochanter of left femur

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

Code Description

ICD-10 S72.112 is a billable code used to indicate a diagnosis of displaced fracture of greater trochanter of left femur.

Key Diagnostic Point:

A displaced fracture of the greater trochanter of the left femur is a specific type of hip fracture that occurs at the upper part of the femur, where the muscle tendons attach. This injury is often the result of high-energy trauma, such as falls or vehicular accidents, particularly in older adults with weakened bone density. The displacement refers to the fracture fragments being misaligned, which can lead to significant pain, loss of mobility, and complications if not treated properly. Patients typically present with an inability to bear weight on the affected leg, hip pain, and may exhibit external rotation of the limb. Diagnosis is confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture's location and displacement. Treatment often involves surgical intervention, such as internal fixation, to realign the bone fragments and stabilize the fracture, followed by rehabilitation to restore function and strength. Understanding the nuances of this injury is crucial for effective management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires precise documentation of fracture type and location.
  • Differentiation between displaced and non-displaced fractures.
  • Need for accurate imaging reports to support coding.
  • Potential for associated injuries in the hip region.

Audit Risk Factors

  • Inadequate documentation of fracture details.
  • Failure to specify laterality (left vs. right).
  • Misclassification of fracture type (displaced vs. non-displaced).
  • Lack of imaging documentation to support the diagnosis.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and post-operative care documentation.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of fracture type and surgical approach for accurate coding.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes, imaging results, and initial treatment plans.

Common Clinical Scenarios

Initial evaluation of hip fractures, management of acute pain and stabilization.

Billing Considerations

Accurate documentation of mechanism of injury and initial findings is crucial.

Coding Guidelines

Inclusion Criteria

Use S72.112 When
  • Follow the official ICD
  • CM coding guidelines, ensuring to document the specific site of the fracture, laterality, and whether it is displaced
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S72.112 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27236CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used in conjunction with S72.112 for surgical repair.

Documentation Requirements

Operative report detailing the procedure performed.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and fixation method.

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 data collection and reimbursement processes. S72.112 provides detailed information about the fracture type and location, which is essential for effective treatment planning and outcomes tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S72.112 provides detailed information about the fracture type and location, which is essential for effective treatment planning and outcomes tracking.

Reimbursement & Billing Impact

reimbursement processes. S72.112 provides detailed information about the fracture type and location, which is essential for effective treatment planning and outcomes tracking.

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 displaced and non-displaced fractures?

Displaced fractures involve a misalignment of the bone fragments, while non-displaced fractures maintain alignment despite the fracture. Accurate documentation is crucial for coding.