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ICD-10 Guide
ICD-10 CodesS72.411

S72.411

Billable

Displaced unspecified condyle fracture of lower end of right femur

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

Code Description

ICD-10 S72.411 is a billable code used to indicate a diagnosis of displaced unspecified condyle fracture of lower end of right femur.

Key Diagnostic Point:

A displaced condyle fracture of the lower end of the right femur is a significant orthopedic injury often resulting from high-energy trauma, such as falls or vehicular accidents. This fracture involves the distal femur, specifically affecting the condyles, which are the rounded ends of the femur that articulate with the tibia at the knee joint. The displacement indicates that the fracture fragments have moved out of their normal alignment, which can lead to complications such as malunion, nonunion, or knee joint instability if not properly managed. Symptoms typically include severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, including X-rays or CT scans, which reveal the fracture's characteristics. Treatment often involves surgical intervention, such as open reduction and internal fixation (ORIF), to realign the bone fragments and stabilize the fracture, followed by rehabilitation to restore function and mobility. The management of such fractures is critical to prevent long-term complications and ensure optimal recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture classification and description
  • Need for precise documentation of displacement and location
  • Potential for associated injuries in the knee joint
  • Variability in treatment approaches and surgical techniques

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries or complications
  • Incorrect coding of laterality (right vs. left)
  • Misinterpretation of imaging results

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and preoperative assessments are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or motor vehicle accidents.

Billing Considerations

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

Emergency Medicine

Documentation Requirements

Accurate initial assessment notes, imaging results, and treatment plans are crucial.

Common Clinical Scenarios

Patients presenting with acute knee pain and swelling after trauma.

Billing Considerations

Emergency physicians must document the mechanism of injury and initial management steps to support coding.

Coding Guidelines

Inclusion Criteria

Use S72.411 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated conditions
  • Include details on the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S72.411 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of distal femoral fracture

Clinical Scenario

Used when surgical intervention is performed for a displaced condyle fracture.

Documentation Requirements

Operative report detailing the procedure, fracture type, and any complications.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding based on the surgical approach and fracture specifics.

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 accuracy of data collection and reimbursement processes. S72.411 provides detailed information on the type and location of the fracture, which is crucial for treatment planning and outcomes assessment.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S72.411 provides detailed information on the type and location of the fracture, which is crucial for treatment planning and outcomes assessment.

Reimbursement & Billing Impact

reimbursement processes. S72.411 provides detailed information on the type and location of the fracture, which is crucial for treatment planning and outcomes assessment.

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 significance of specifying displacement in fracture coding?

Specifying displacement is crucial as it affects treatment options, prognosis, and reimbursement. Displaced fractures often require surgical intervention, while non-displaced fractures may be managed conservatively.