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ICD-10 Guide
ICD-10 CodesS72.146

S72.146

Billable

Nondisplaced intertrochanteric fracture of unspecified femur

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

Code Description

ICD-10 S72.146 is a billable code used to indicate a diagnosis of nondisplaced intertrochanteric fracture of unspecified femur.

Key Diagnostic Point:

A nondisplaced intertrochanteric fracture of the femur occurs when there is a break in the femur bone just below the neck, specifically in the intertrochanteric region, without any displacement of the bone fragments. This type of fracture is common 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 significantly impact a patient's ability to walk and perform daily activities. Diagnosis typically involves imaging studies such as X-rays or CT scans to confirm the fracture type and assess for any associated injuries. Treatment may include conservative management with pain control and physical therapy or surgical intervention, such as internal fixation, depending on the patient's overall health and activity level. Proper coding of this condition is essential for appropriate reimbursement and tracking of orthopedic injuries.

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 appropriate site of the fracture
  • Variability in documentation practices among providers

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to specify laterality (right or left femur)
  • Misclassification of fracture displacement
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging results, and follow-up notes are essential for accurate coding.

Common Clinical Scenarios

Patients presenting with hip pain after a fall, requiring surgical intervention for fracture stabilization.

Billing Considerations

Ensure that the documentation clearly states the type of fracture and any surgical procedures performed.

Emergency Medicine

Documentation Requirements

Accurate initial assessment notes, imaging interpretations, and treatment plans.

Common Clinical Scenarios

Patients presenting to the emergency department with acute hip pain and suspected fractures.

Billing Considerations

Document the mechanism of injury and any immediate interventions provided.

Coding Guidelines

Inclusion Criteria

Use S72.146 When
  • Follow the official ICD
  • CM coding guidelines for fractures, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include laterality when applicable

Exclusion Criteria

Do NOT use S72.146 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27130CPT Code

Total hip arthroplasty

Clinical Scenario

Used in cases where surgical intervention is required for fracture stabilization.

Documentation Requirements

Operative report detailing the procedure and indications 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. S72.146 provides a clear distinction for nondisplaced intertrochanteric fractures, which aids in clinical management and research.

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. S72.146 provides a clear distinction for nondisplaced intertrochanteric fractures, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. S72.146 provides a clear distinction for nondisplaced intertrochanteric fractures, which aids in clinical management and research.

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 fracture fragments, while a nondisplaced fracture means the bone fragments remain aligned.