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ICD-10 Guide
ICD-10 CodesS72.30

S72.30

Billable

Unspecified fracture of shaft of femur

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

Code Description

ICD-10 S72.30 is a billable code used to indicate a diagnosis of unspecified fracture of shaft of femur.

Key Diagnostic Point:

An unspecified fracture of the shaft of the femur refers to a break in the long bone of the thigh, which is critical for mobility and weight-bearing. This type of fracture can occur due to various mechanisms, including high-energy trauma such as motor vehicle accidents or falls, particularly in the elderly population. The femur is the strongest bone in the body, and fractures typically result from significant force. Symptoms may include severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is often confirmed through imaging studies such as X-rays or CT scans. Treatment may involve conservative management with immobilization or surgical intervention, such as intramedullary nailing or plating, depending on the fracture's location and stability. The unspecified nature of this code indicates that further details about the fracture type, such as whether it is open or closed, are not provided, which can complicate treatment planning and coding accuracy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity regarding fracture type (open vs. closed)
  • Variability in treatment approaches based on fracture characteristics
  • Potential for misclassification with other femoral injuries
  • Need for detailed documentation to support the diagnosis

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to specify the mechanism of injury
  • Misuse of unspecified codes when specific codes are available
  • Inconsistent clinical notes regarding treatment plans

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from falls in elderly patients, sports injuries in younger patients, and trauma from accidents.

Billing Considerations

Surgeons must document the type of fracture, treatment performed, and any complications to ensure accurate coding.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans must be clearly documented.

Common Clinical Scenarios

Patients presenting with acute pain and inability to move the leg after trauma.

Billing Considerations

Emergency physicians should document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S72.30 When
  • According to ICD
  • 10 coding guidelines, unspecified codes should be used only when no specific code is available
  • Coders should ensure that all documentation supports the use of S72
  • 30 and consider the need for more specific codes as additional information becomes available

Exclusion Criteria

Do NOT use S72.30 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, indications, and any complications.

Specialty Considerations

Orthopedic surgeons must ensure that the procedure aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of fractures, improving specificity and accuracy in billing and treatment planning. S72.30 serves as a placeholder for unspecified fractures, emphasizing the need for thorough documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of fractures, improving specificity and accuracy in billing and treatment planning. S72.30 serves as a placeholder for unspecified fractures, emphasizing the need for thorough documentation.

Reimbursement & Billing Impact

billing and treatment planning. S72.30 serves as a placeholder for unspecified fractures, emphasizing the need for thorough documentation.

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

When should I use S72.30?

S72.30 should be used when a patient has an unspecified fracture of the shaft of the femur, and no further details about the fracture type are available. It is important to ensure that documentation supports the use of this code.