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ICD-10 Guide
ICD-10 CodesS72.113

S72.113

Billable

Displaced fracture of greater trochanter of unspecified femur

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

Code Description

ICD-10 S72.113 is a billable code used to indicate a diagnosis of displaced fracture of greater trochanter of unspecified femur.

Key Diagnostic Point:

A displaced fracture of the greater trochanter of the femur is a type of hip fracture that occurs at the upper part of the femur, specifically at the greater trochanter, which is a bony prominence on the femur. This injury is often the result of a fall or trauma, particularly in older adults who may have weakened bones due to osteoporosis. The displacement of the fracture indicates that the bone fragments have moved out of their normal alignment, which can lead to complications such as impaired mobility, pain, and the potential for further injury. Treatment typically involves orthopedic intervention, which may include surgical fixation to realign the bone fragments and stabilize the fracture. Rehabilitation is crucial for recovery, focusing on restoring strength and mobility to the hip joint. Accurate diagnosis and coding are essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of fracture type and displacement
  • Need for precise anatomical terminology
  • Differentiation from similar fracture codes
  • Potential for multiple fractures in the same patient

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to specify laterality when applicable
  • Misclassification of fracture type (displaced vs. non-displaced)
  • Lack of supporting imaging reports

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and post-operative care plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all surgical interventions and follow-up care are documented to support coding.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals, treatment modalities, and patient response.

Common Clinical Scenarios

Rehabilitation following surgical repair of hip fractures.

Billing Considerations

Document functional assessments and progress towards mobility goals.

Coding Guidelines

Inclusion Criteria

Use S72.113 When
  • Follow the ICD
  • CM coding guidelines for fractures, ensuring that the documentation supports the diagnosis of a displaced fracture
  • Include details about the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S72.113 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27125CPT Code

Total hip arthroplasty

Clinical Scenario

Used for surgical repair of a displaced greater trochanter fracture.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery.

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 patient records and reimbursement processes. S72.113 provides a clear designation for displaced fractures, facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and reimbursement processes. S72.113 provides a clear designation for displaced fractures, facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

reimbursement processes. S72.113 provides a clear designation for displaced fractures, facilitating better tracking of treatment outcomes.

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 specifying displacement in fracture coding?

Specifying displacement is crucial as it affects treatment options, prognosis, and reimbursement. Displaced fractures often require surgical intervention, while non-displaced fractures may be managed conservatively.