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ICD-10 Guide
ICD-10 CodesS72.341

S72.341

Billable

Displaced spiral fracture of shaft of right femur

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

Code Description

ICD-10 S72.341 is a billable code used to indicate a diagnosis of displaced spiral fracture of shaft of right femur.

Key Diagnostic Point:

A displaced spiral fracture of the shaft of the right femur is a type of bone injury characterized by a helical break in the femur, which is the longest bone in the human body. This fracture typically occurs due to high-energy trauma, such as a fall from a height or a motor vehicle accident. The displacement indicates that the fractured bone ends are not aligned, which can complicate healing and may require surgical intervention. Symptoms often include severe pain, swelling, and an inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture pattern and displacement. Treatment may involve orthopedic surgery, including internal fixation with plates or rods, to realign the bone and stabilize it for proper healing. Rehabilitation is crucial for restoring function and strength to the leg post-surgery. Understanding the nature of this fracture is essential for appropriate coding and management in orthopedic trauma surgery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires precise documentation of fracture type and location.
  • Differentiation between displaced and non-displaced fractures.
  • Need for imaging studies to confirm diagnosis.
  • Potential for surgical intervention complicates coding.

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement.
  • Failure to include imaging results in the medical record.
  • Incorrect coding of associated procedures.
  • Lack of clarity in the treatment plan.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or vehicular accidents.

Billing Considerations

Ensure accurate documentation of fracture characteristics and treatment plans.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute limb trauma and pain.

Billing Considerations

Document mechanism of injury and initial treatment to support coding.

Coding Guidelines

Inclusion Criteria

Use S72.341 When
  • Follow ICD
  • CM guidelines for coding fractures, including specificity regarding the type and location of the fracture
  • Ensure documentation supports the diagnosis and any associated procedures

Exclusion Criteria

Do NOT use S72.341 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 displaced femur fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and fixation method.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to capture details about displacement and fracture type, which is crucial for appropriate treatment and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to capture details about displacement and fracture type, which is crucial for appropriate treatment 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 a displaced and non-displaced fracture?

A displaced fracture means the bone ends are not aligned, while a non-displaced fracture means the bone remains in its normal position despite the fracture.