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ICD-10 Guide
ICD-10 CodesS72.353

S72.353

Billable

Displaced comminuted fracture of shaft of unspecified femur

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

Code Description

ICD-10 S72.353 is a billable code used to indicate a diagnosis of displaced comminuted fracture of shaft of unspecified femur.

Key Diagnostic Point:

A displaced comminuted fracture of the shaft of the femur is a severe injury characterized by the breaking of the femur into multiple fragments, with the fragments being misaligned or displaced from their normal anatomical position. This type of fracture typically occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. The femur, being the longest and strongest bone in the body, can withstand considerable force; however, when subjected to extreme stress, it can fracture in a comminuted manner. Patients with this injury often present with severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, such as X-rays or CT scans, which reveal the extent of the fracture and any associated injuries. Treatment usually involves surgical intervention, such as intramedullary nailing or plating, to stabilize the fracture and promote healing. Rehabilitation is crucial for restoring function and mobility post-surgery, and the prognosis depends on the patient's age, overall health, and adherence to rehabilitation protocols.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires precise documentation of fracture type and displacement.
  • Differentiation from other femoral fractures can be challenging.
  • Involves understanding of orthopedic terminology and anatomy.
  • Potential for multiple associated injuries complicates coding.

Audit Risk Factors

  • Inadequate documentation of fracture specifics.
  • Failure to capture associated injuries or complications.
  • Incorrect coding of the fracture type or location.
  • Lack of clarity in surgical procedure documentation.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments are essential.

Common Clinical Scenarios

Fractures resulting from trauma, sports injuries, or falls in elderly patients.

Billing Considerations

Ensure that all surgical interventions and post-operative care are documented to support coding.

Emergency Medicine

Documentation Requirements

Accurate initial assessment notes, imaging results, and treatment plans must be recorded.

Common Clinical Scenarios

Patients presenting with acute trauma and suspected fractures requiring immediate intervention.

Billing Considerations

Timely documentation is critical to capture the nature of the injury and any immediate care provided.

Coding Guidelines

Inclusion Criteria

Use S72.353 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • displaced fractures or fractures of other femur parts

Exclusion Criteria

Do NOT use S72.353 When
  • Exclude codes for non

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 comminuted fracture.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons must ensure all surgical details are accurately documented.

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 details about displacement and comminution, 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 details about displacement and comminution, 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 details about displacement and comminution, 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 comminuted fracture and a simple fracture?

A comminuted fracture involves the bone breaking into multiple fragments, while a simple fracture is a clean break with two pieces. Comminuted fractures are generally more complex and require more extensive treatment.