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ICD-10 Guide
ICD-10 CodesS72.144

S72.144

Billable

Nondisplaced intertrochanteric fracture of right femur

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

Code Description

ICD-10 S72.144 is a billable code used to indicate a diagnosis of nondisplaced intertrochanteric fracture of right femur.

Key Diagnostic Point:

A nondisplaced intertrochanteric fracture of the right femur is a type of hip fracture that occurs in the region between the femoral neck and the shaft of the femur, specifically at the intertrochanteric area. This fracture is characterized by the absence of significant displacement of the bone fragments, meaning that the broken ends of the bone remain in alignment. Such fractures are commonly seen in elderly patients, often resulting from low-energy falls, but can also occur in younger individuals due to high-energy trauma. Clinical presentation typically includes hip pain, inability to bear weight on the affected leg, and limited range of motion. Diagnosis is confirmed through imaging studies, primarily X-rays, which reveal the fracture line and assess for any associated injuries. Treatment usually involves conservative management with pain control and physical therapy, although surgical intervention may be necessary in some cases to stabilize the fracture and restore function. Understanding the nuances of this condition is crucial for accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical terminology related to the femur
  • Identifying the specific location of the fracture
  • Considering associated injuries or complications

Audit Risk Factors

  • Inaccurate documentation of fracture type (displaced vs. nondisplaced)
  • Failure to specify laterality (right vs. left)
  • Inadequate imaging documentation to support diagnosis
  • Misinterpretation of clinical notes regarding treatment plans

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging results, and pre/post-operative assessments.

Common Clinical Scenarios

Surgical fixation of intertrochanteric fractures, management of complications such as nonunion.

Billing Considerations

Ensure documentation reflects the specific type of fracture and any surgical interventions performed.

Emergency Medicine

Documentation Requirements

Comprehensive notes on patient assessment, imaging, and initial management.

Common Clinical Scenarios

Initial evaluation of hip fractures in trauma patients, pain management protocols.

Billing Considerations

Accurate documentation of mechanism of injury and initial treatment provided.

Coding Guidelines

Inclusion Criteria

Use S72.144 When
  • According to ICD
  • 10 guidelines, S72
  • 144 should be used when the fracture is confirmed as nondisplaced and located in the intertrochanteric region of the right femur
  • It is essential to document the mechanism of injury and any associated conditions to ensure accurate coding

Exclusion Criteria

Do NOT use S72.144 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27236CPT Code

Open treatment of intertrochanteric fracture of femur

Clinical Scenario

Used when surgical intervention is required for stabilization of the fracture.

Documentation Requirements

Operative reports detailing the procedure, indications, and post-operative care.

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. S72.144 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for 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. S72.144 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning and outcomes tracking.

Reimbursement & Billing Impact

reimbursement processes. S72.144 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for 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 a displaced and nondisplaced intertrochanteric fracture?

A displaced intertrochanteric fracture involves a separation of the bone fragments, while a nondisplaced fracture means the bone fragments remain aligned. This distinction affects treatment options and coding.