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ICD-10 Guide
ICD-10 CodesS72.346

S72.346

Billable

Nondisplaced spiral fracture of shaft of unspecified femur

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

Code Description

ICD-10 S72.346 is a billable code used to indicate a diagnosis of nondisplaced spiral fracture of shaft of unspecified femur.

Key Diagnostic Point:

A nondisplaced spiral fracture of the shaft of the femur is characterized by a fracture line that spirals around the femoral shaft without any significant displacement of the bone fragments. This type of fracture often occurs due to torsional forces applied to the femur, which can happen during activities such as sports or falls. The femur, being the longest and strongest bone in the body, is susceptible to various types of fractures, including spiral fractures, particularly in high-impact situations. Although the fracture is nondisplaced, it can still cause significant pain, swelling, and limited mobility. Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays, to confirm the fracture type and assess for any associated injuries. Treatment usually involves conservative management, including immobilization and rehabilitation, although surgical intervention may be necessary in certain cases to ensure proper healing and restore function. Understanding the nature of this fracture is crucial for orthopedic trauma surgery, as it informs the treatment plan and potential surgical approaches if complications arise.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Identifying the specific location of the fracture within the femur
  • Understanding the mechanism of injury (torsional forces)
  • Documenting associated injuries or complications

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the location of the fracture
  • Misclassification of fracture type (displaced vs. nondisplaced)
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the fracture type, location, and treatment plan are essential. Imaging results should be included.

Common Clinical Scenarios

Patients presenting with hip pain after a fall, athletes with torsional injuries, and elderly patients with low-energy fractures.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the diagnosis and treatment plan.

Emergency Medicine

Documentation Requirements

Accurate initial assessment notes, including pain levels, range of motion, and any neurological deficits.

Common Clinical Scenarios

Patients arriving with acute limb pain after trauma, requiring immediate imaging and stabilization.

Billing Considerations

Document any immediate interventions performed and the rationale for imaging studies.

Coding Guidelines

Inclusion Criteria

Use S72.346 When
  • According to ICD
  • 10 coding guidelines, S72
  • 346 should be used when the fracture is confirmed as nondisplaced and the specific location is unspecified
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are coded appropriately

Exclusion Criteria

Do NOT use S72.346 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 required for a femoral shaft fracture.

Documentation Requirements

Operative reports detailing the procedure and any complications.

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, including the distinction between displaced and nondisplaced fractures, which aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the distinction between displaced and nondisplaced fractures, which aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the distinction between displaced and nondisplaced fractures, which aids in better tracking of treatment outcomes and resource allocation.

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 nondisplaced and displaced fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments moving out of alignment.