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ICD-10 Guide
ICD-10 CodesS72.302

S72.302

Billable

Unspecified fracture of shaft of left femur

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

Code Description

ICD-10 S72.302 is a billable code used to indicate a diagnosis of unspecified fracture of shaft of left femur.

Key Diagnostic Point:

An unspecified fracture of the shaft of the left femur refers to a break in the long bone of the thigh, which is the femur, located between the hip and the knee. This type of fracture can occur due to various mechanisms, including high-energy trauma such as motor vehicle accidents, falls from heights, or sports injuries. The shaft of the femur is the long, straight portion of the bone, and fractures here can lead to significant pain, swelling, and impaired mobility. Patients may present with an inability to bear weight on the affected leg, and physical examination may reveal deformity or abnormal positioning of the limb. Imaging studies, particularly X-rays, are essential for confirming the diagnosis and assessing the fracture's characteristics. Treatment typically involves orthopedic intervention, which may include surgical fixation or conservative management depending on the fracture's stability and the patient's overall health. Rehabilitation is crucial for restoring function and strength post-injury. Given the potential for complications, including nonunion or malunion of the fracture, careful monitoring and follow-up are essential.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations within the femur
  • Need for precise documentation of fracture characteristics
  • Potential for associated injuries (e.g., hip dislocation)
  • Differentiation from other femoral fractures

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to capture associated injuries
  • Misclassification of fracture type
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from trauma, surgical interventions for fracture stabilization, and post-operative complications.

Billing Considerations

Ensure that all relevant details about the fracture type, location, and treatment are documented to support the coding.

Emergency Medicine

Documentation Requirements

Comprehensive documentation of the mechanism of injury, initial assessment findings, and any imaging performed.

Common Clinical Scenarios

Patients presenting with acute trauma, requiring immediate evaluation and stabilization.

Billing Considerations

Accurate documentation of the patient's condition upon arrival and any interventions performed is critical for coding.

Coding Guidelines

Inclusion Criteria

Use S72.302 When
  • According to ICD
  • CM guidelines, this code should be used when the specific type of fracture is not documented
  • Coders should ensure that the documentation supports the use of this unspecified code and consider more specific codes if available

Exclusion Criteria

Do NOT use S72.302 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Open treatment of femoral shaft fracture

Clinical Scenario

Used when surgical intervention is required for fracture stabilization.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and the surgical approach taken.

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 granularity of data for research and treatment outcomes. S72.302 provides a means to capture unspecified fractures, which can help in understanding the prevalence and management of such injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data for research and treatment outcomes. S72.302 provides a means to capture unspecified fractures, which can help in understanding the prevalence and management of such injuries.

Reimbursement & Billing Impact

reimbursement and to avoid denials.

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 S72.302?

Use S72.302 when the documentation specifies an unspecified fracture of the shaft of the left femur, and no further details are provided.