Unspecified fracture of lower end of right femur
ICD-10 S72.401 is a billable code used to indicate a diagnosis of unspecified fracture of lower end of right femur.
The unspecified fracture of the lower end of the right femur refers to a break in the femur bone, specifically at the distal end near the knee joint. This type of fracture can occur due to various mechanisms, including falls, direct trauma, or high-impact sports injuries. Patients may present with significant pain, swelling, and inability to bear weight on the affected leg. The diagnosis is typically confirmed through imaging studies such as X-rays or CT scans, which help to visualize the fracture and assess for any associated injuries. Treatment often involves immobilization, pain management, and in some cases, surgical intervention to realign and stabilize the bone. The complexity of this fracture can vary based on the patient's age, overall health, and the presence of any comorbid conditions that may affect healing. Understanding the specifics of the fracture, including its location and any potential complications, is crucial for effective management and coding.
Detailed operative notes, imaging reports, and follow-up assessments are essential for accurate coding.
Fractures resulting from falls in elderly patients, sports injuries in younger patients, and trauma from vehicular accidents.
Ensure that the mechanism of injury and any surgical interventions are clearly documented to support the coding.
Thorough documentation of initial assessment, imaging results, and treatment provided in the emergency setting.
Patients presenting with acute pain and swelling after trauma, requiring immediate imaging and pain management.
Accurate coding requires clear documentation of the patient's condition upon arrival and any immediate interventions performed.
Used when surgical intervention is performed for the fracture.
Operative reports detailing the procedure and any complications.
Orthopedic surgeons must document the specifics of the fracture and the surgical approach taken.
Document the mechanism of injury, specific symptoms, imaging results, and any treatment provided. Ensure that the documentation clearly indicates the fracture's location and any associated injuries.