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ICD-10 Guide
ICD-10 CodesS72.366

S72.366

Billable

Nondisplaced segmental fracture of shaft of unspecified femur

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

Code Description

ICD-10 S72.366 is a billable code used to indicate a diagnosis of nondisplaced segmental fracture of shaft of unspecified femur.

Key Diagnostic Point:

A nondisplaced segmental fracture of the shaft of the femur refers to a type of fracture where the bone is broken in two or more places, but the fragments remain in their normal anatomical position. This injury can occur due to high-energy trauma, such as motor vehicle accidents or falls from significant heights, and is often associated with other injuries, particularly in the elderly population. Segmental fractures can complicate treatment and recovery due to the involvement of multiple fracture sites, which may require surgical intervention to stabilize the bone. The femur is the longest and strongest bone in the body, and fractures in this area can lead to significant morbidity, including pain, loss of mobility, and complications such as deep vein thrombosis or pulmonary embolism. Accurate coding of this injury is crucial for appropriate treatment planning and reimbursement, as it may necessitate orthopedic trauma surgery, including internal fixation or intramedullary nailing. The management of nondisplaced segmental fractures typically involves a multidisciplinary approach, including orthopedic surgeons, physical therapists, and pain management specialists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between displaced and nondisplaced fractures
  • Understanding of segmental fracture terminology
  • Need for precise documentation of fracture location
  • Potential for associated injuries requiring additional codes

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to specify the nondisplaced nature of the fracture
  • Misclassification of fracture type
  • Lack of supporting imaging reports

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or high-impact accidents.

Billing Considerations

Documentation must clearly indicate the type of fracture and any surgical interventions performed.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals and outcomes.

Common Clinical Scenarios

Post-operative rehabilitation following femur fracture repair.

Billing Considerations

Therapists should document functional limitations and progress to support the need for ongoing therapy.

Coding Guidelines

Inclusion Criteria

Use S72.366 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is documented as nondisplaced and segmental
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S72.366 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of femoral fracture, distal end, with internal fixation

Clinical Scenario

Used when surgical intervention is required for a nondisplaced segmental fracture.

Documentation Requirements

Operative report detailing the procedure and any complications.

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, improving the ability to capture the nuances of injuries like nondisplaced segmental fractures, which can impact treatment and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the ability to capture the nuances of injuries like nondisplaced segmental fractures, which can impact 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 nondisplaced segmental fracture?

A displaced segmental fracture involves the bone fragments being misaligned, while a nondisplaced segmental fracture means the fragments remain in their normal anatomical position.