Unspecified fracture of shaft of unspecified femur
ICD-10 S72.309 is a billable code used to indicate a diagnosis of unspecified fracture of shaft of unspecified femur.
The S72.309 code refers to an unspecified fracture of the shaft of the femur, which is a common injury often resulting from trauma, such as falls or vehicular accidents. The femur, being the longest and strongest bone in the body, can sustain various types of fractures, including transverse, oblique, or spiral fractures. This code is used when the specific type of fracture is not documented, making it essential for coders to ensure that all relevant clinical details are captured in the medical record. Fractures of the femur can lead to significant morbidity, including pain, loss of mobility, and complications such as nonunion or malunion. Treatment typically involves orthopedic intervention, which may include surgical fixation or conservative management depending on the fracture's characteristics and the patient's overall health. Accurate coding is crucial for appropriate reimbursement and to reflect the severity of the injury in the patient's medical history.
Detailed operative reports, imaging studies, and follow-up notes are essential to support the diagnosis and treatment plan.
Fractures resulting from falls in elderly patients, sports injuries in younger patients, and trauma from accidents.
Ensure that all relevant details about the fracture type, location, and treatment are documented to avoid unspecified coding.
Thorough documentation of the mechanism of injury, initial assessment, and any imaging performed.
Patients presenting with acute pain and swelling after trauma, requiring immediate evaluation and management.
Accurate coding is critical for appropriate triage and treatment pathways; ensure that all injuries are documented.
Used when surgical intervention is performed for a femoral shaft fracture.
Operative report detailing the procedure, indication for surgery, and post-operative care.
Orthopedic surgeons must provide detailed documentation to support the surgical procedure.
Use S72.309 when the documentation indicates a fracture of the shaft of the femur but does not specify the type of fracture. Ensure that all relevant clinical details are captured to support this coding.