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ICD-10 Guide
ICD-10 CodesS72.145

S72.145

Billable

Nondisplaced intertrochanteric fracture of left femur

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

Code Description

ICD-10 S72.145 is a billable code used to indicate a diagnosis of nondisplaced intertrochanteric fracture of left femur.

Key Diagnostic Point:

A nondisplaced intertrochanteric fracture of the left 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 femur remain in alignment. Such fractures are commonly seen in elderly patients, often resulting from low-energy falls or trauma. The intertrochanteric region is critical for hip stability and mobility, and fractures here can lead to significant morbidity, including pain, decreased mobility, and complications such as avascular necrosis if not properly managed. Treatment typically involves surgical intervention, such as internal fixation, to stabilize the fracture and allow for early mobilization. Rehabilitation is crucial for restoring function and preventing complications associated with prolonged immobility.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between displaced and nondisplaced fractures
  • Understanding of anatomical terminology related to the femur
  • Knowledge of associated complications and treatment options
  • Documentation of the mechanism of injury

Audit Risk Factors

  • Inadequate documentation of the fracture type
  • Failure to specify laterality (left vs. right)
  • Misclassification of fracture displacement
  • Lack of detail regarding the mechanism of injury

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and preoperative assessments are essential.

Common Clinical Scenarios

Surgical repair of intertrochanteric fractures in elderly patients, management of postoperative complications.

Billing Considerations

Ensure accurate documentation of fracture type and surgical approach to support coding.

Emergency Medicine

Documentation Requirements

Accurate documentation of the mechanism of injury, initial assessment findings, and imaging results.

Common Clinical Scenarios

Evaluation and stabilization of patients with hip fractures following falls.

Billing Considerations

Documenting the patient's functional status and any comorbidities that may affect treatment.

Coding Guidelines

Inclusion Criteria

Use S72.145 When
  • According to ICD
  • 10 guidelines, S72
  • 145 should be used when the fracture is confirmed as nondisplaced and located in the intertrochanteric region of the left femur
  • Coders must ensure that the documentation supports the diagnosis and that the laterality is clearly indicated

Exclusion Criteria

Do NOT use S72.145 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 fixation is performed for a nondisplaced intertrochanteric fracture.

Documentation Requirements

Operative report detailing the procedure, fixation method, and any intraoperative findings.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and displacement status, which enhances the accuracy of patient records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and displacement status, which enhances the accuracy of patient records and billing.

Reimbursement & Billing Impact

billing.

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 fragments remain aligned. This distinction is crucial for accurate coding and treatment planning.