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ICD-10 Guide
ICD-10 CodesS72.122

S72.122

Billable

Displaced fracture of lesser trochanter of left femur

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

Code Description

ICD-10 S72.122 is a billable code used to indicate a diagnosis of displaced fracture of lesser trochanter of left femur.

Key Diagnostic Point:

A displaced fracture of the lesser trochanter of the left femur is a specific type of hip fracture that occurs at the site where the iliopsoas muscle attaches to the femur. This injury is often the result of high-energy trauma, such as falls or motor vehicle accidents, particularly in older adults or athletes. The lesser trochanter is a small, bony prominence located on the femur, and fractures here can significantly impact mobility and function. Displacement indicates that the fracture fragments have moved out of their normal alignment, which can complicate treatment and recovery. Surgical intervention is often required to realign the bone fragments and stabilize the fracture, typically through internal fixation methods. Post-operative rehabilitation is crucial for restoring strength and range of motion. Accurate coding of this fracture is essential for appropriate treatment planning and reimbursement, as it reflects the severity and complexity of the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific anatomical locations and terminology.
  • Differentiation between displaced and non-displaced fractures.
  • Need for precise documentation of the fracture type and location.
  • Potential for associated injuries that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement.
  • Failure to document associated injuries or complications.
  • Incorrect coding of laterality (left vs. right).
  • Misinterpretation of imaging results leading to coding errors.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure that all surgical interventions are documented, including fixation methods and any complications.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans, progress notes, and functional assessments.

Common Clinical Scenarios

Rehabilitation following surgical repair of hip fractures, management of pain and mobility issues.

Billing Considerations

Document functional limitations and goals for rehabilitation to support coding for therapy services.

Coding Guidelines

Inclusion Criteria

Use S72.122 When
  • Follow the official ICD
  • CM coding guidelines for fractures, including the need for specificity regarding the type of fracture and laterality
  • Ensure that documentation supports the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use S72.122 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used when performing surgical fixation of the displaced fracture.

Documentation Requirements

Operative report detailing the procedure, fixation method, and any complications.

Specialty Considerations

Orthopedic surgeons must ensure that all aspects of the surgery are documented for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to denote laterality and displacement, which is crucial for appropriate treatment and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to denote laterality and displacement, which is crucial for appropriate treatment and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 S72.122 accurately?

Accurate coding of S72.122 is essential for proper treatment planning, reimbursement, and tracking of hip fracture outcomes. It ensures that healthcare providers are compensated appropriately for the complexity of care required for displaced fractures.