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ICD-10 Guide
ICD-10 CodesS72.361

S72.361

Billable

Displaced segmental fracture of shaft of right femur

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

Code Description

ICD-10 S72.361 is a billable code used to indicate a diagnosis of displaced segmental fracture of shaft of right femur.

Key Diagnostic Point:

A displaced segmental fracture of the shaft of the right femur is a serious orthopedic injury characterized by a break in the femur that results in two or more separate fragments of bone. This type of fracture typically occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. The displacement of the fracture fragments can lead to misalignment, which may complicate healing and necessitate surgical intervention. Patients 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 fracture pattern and displacement. Treatment usually involves surgical fixation to realign the bone fragments, stabilize the fracture, and promote healing. Post-operative care includes pain management, physical therapy, and monitoring for complications such as infection or non-union of the fracture. Given the complexity of the injury and the potential for associated complications, accurate coding is essential for appropriate reimbursement and patient care management.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires precise documentation of fracture type and displacement.
  • Involves understanding of orthopedic terminology and anatomy.
  • May require additional codes for associated injuries or complications.
  • Surgical intervention often necessitates coding for both the fracture and the procedure.

Audit Risk Factors

  • Inadequate documentation of the fracture type and displacement.
  • Failure to capture associated injuries or complications.
  • Incorrect coding of the surgical procedure performed.
  • Lack of clarity in the physician's notes regarding the treatment plan.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate representation of fracture type and any surgical interventions performed.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes, imaging results, and initial treatment plans.

Common Clinical Scenarios

Patients presenting with acute trauma and suspected fractures.

Billing Considerations

Timely documentation is crucial for accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use S72.361 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is documented as displaced and segmental
  • Include any additional codes for associated injuries or complications as necessary

Exclusion Criteria

Do NOT use S72.361 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 segmental fracture.

Documentation Requirements

Operative report detailing the procedure and any fixation devices used.

Specialty Considerations

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

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 segmental nature, which enhances the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and segmental nature, which enhances the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 involves a break where the bone fragments are not aligned, while a non-displaced fracture means the bone cracks but maintains its proper alignment.