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ICD-10 Guide
ICD-10 CodesS72.3

S72.3

Billable

Fracture of shaft of femur

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

Code Description

ICD-10 S72.3 is a billable code used to indicate a diagnosis of fracture of shaft of femur.

Key Diagnostic Point:

A fracture of the shaft of the femur is a significant orthopedic injury that typically results from high-energy trauma, such as motor vehicle accidents or falls from a height. The femur, being the longest and strongest bone in the body, can sustain various types of fractures, including transverse, oblique, and spiral fractures. These fractures can lead to complications such as malunion, nonunion, or infection, particularly in open fractures where the bone pierces the skin. Patients often present with severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, primarily X-rays, which reveal the fracture pattern and any associated injuries. Treatment usually involves surgical intervention, such as intramedullary nailing or plating, to stabilize the fracture and promote healing. Rehabilitation is crucial for restoring function and strength to the affected limb. Given the potential for complications and the need for precise surgical intervention, accurate coding of femoral shaft fractures is essential for appropriate reimbursement and patient care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of fracture types (transverse, oblique, spiral)
  • Potential for associated injuries (e.g., hip dislocation, vascular injury)
  • Need for surgical intervention and post-operative care documentation
  • Variability in treatment approaches based on patient age and health status

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries or complications
  • Incorrect coding of surgical procedures performed
  • Lack of follow-up documentation for rehabilitation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes are essential for accurate coding.

Common Clinical Scenarios

Surgical fixation of femoral shaft fractures, management of complications such as nonunion or malunion.

Billing Considerations

Ensure that all surgical interventions and follow-up care are documented to support the coding.

Emergency Medicine

Documentation Requirements

Accurate initial assessment notes, imaging results, and treatment plans must be documented.

Common Clinical Scenarios

Initial evaluation and stabilization of patients with femoral shaft fractures.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S72.3 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, treatment provided, and any associated injuries
  • Include details on the mechanism of injury and patient demographics

Exclusion Criteria

Do NOT use S72.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of femoral shaft fracture

Clinical Scenario

Used when surgical intervention is performed for a femoral shaft fracture.

Documentation Requirements

Operative report detailing the procedure, approach, and fixation method.

Specialty Considerations

Orthopedic surgeons must document all aspects of the surgical procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of femoral fractures, improving the granularity of data for treatment outcomes and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of femoral fractures, improving the granularity of data for treatment outcomes 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 difference between S72.3 and S72.0?

S72.3 refers specifically to fractures of the shaft of the femur, while S72.0 pertains to fractures of the neck of the femur, which have different clinical implications and treatment approaches.