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ICD-10 Guide
ICD-10 CodesS72.116

S72.116

Billable

Nondisplaced fracture of greater trochanter of unspecified femur

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

Code Description

ICD-10 S72.116 is a billable code used to indicate a diagnosis of nondisplaced fracture of greater trochanter of unspecified femur.

Key Diagnostic Point:

A nondisplaced fracture of the greater trochanter of the femur is characterized by a break in the bone that does not result in the separation of the fracture fragments. This type of fracture typically occurs due to low-energy trauma, such as falls, particularly in older adults with osteoporosis. The greater trochanter is a prominent bony projection on the femur, serving as an attachment point for muscles involved in hip movement. Symptoms may include localized pain, swelling, and difficulty in weight-bearing activities. Diagnosis is usually confirmed through imaging studies, such as X-rays or MRI, which can help differentiate between nondisplaced and displaced fractures. Treatment often involves conservative management, including rest, pain control, and physical therapy, although surgical intervention may be necessary in certain cases. Understanding the implications of this fracture is crucial for effective management and rehabilitation, as it can significantly impact mobility and quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding fracture specifics
  • Need for precise imaging reports to confirm nondisplacement
  • Differentiation from other types of hip fractures
  • Potential for co-existing conditions affecting treatment

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to specify laterality (right or left femur)
  • Misclassification of fracture as displaced
  • Lack of supporting imaging documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and follow-up assessments.

Common Clinical Scenarios

Management of hip fractures in elderly patients, post-operative care, and rehabilitation.

Billing Considerations

Ensure clear documentation of fracture type and treatment plan to avoid coding errors.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Rehabilitation following hip fractures, pain management, and mobility training.

Billing Considerations

Documenting the impact of the fracture on daily activities and rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use S72.116 When
  • Follow ICD
  • CM guidelines for coding fractures, ensuring accurate documentation of the fracture type, location, and treatment
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S72.116 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27130CPT Code

Total hip arthroplasty

Clinical Scenario

Used in cases where conservative management fails and surgical intervention is required.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

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. S72.116 provides a clear distinction for nondisplaced fractures, which aids in treatment planning and resource allocation.

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. S72.116 provides a clear distinction for nondisplaced fractures, which aids in treatment planning and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. S72.116 provides a clear distinction for nondisplaced fractures, which aids in treatment planning and resource allocation.

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 a nondisplaced and displaced fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments moving out of alignment.