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ICD-10 Guide
ICD-10 CodesS72.424

S72.424

Billable

Nondisplaced fracture of lateral condyle of right femur

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

Code Description

ICD-10 S72.424 is a billable code used to indicate a diagnosis of nondisplaced fracture of lateral condyle of right femur.

Key Diagnostic Point:

A nondisplaced fracture of the lateral condyle of the right femur refers to a break in the bone that does not result in the bone fragments being misaligned. This type of fracture is often caused by trauma, such as a fall or direct impact, and is commonly seen in both adults and children. The lateral condyle is the outer part of the femur that articulates with the tibia and fibula at the knee joint. Symptoms typically include localized pain, swelling, and difficulty bearing weight on the affected leg. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI, which can help assess the extent of the injury and rule out associated ligamentous injuries. Treatment may involve conservative management with rest, ice, compression, and elevation (RICE), along with physical therapy, or surgical intervention in cases where stability is a concern. Proper coding is essential for accurate billing and to ensure appropriate treatment protocols are followed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical terminology related to the femur
  • Identifying associated injuries that may require additional coding
  • Navigating coding guidelines for orthopedic trauma

Audit Risk Factors

  • Inadequate documentation of the fracture type
  • Failure to specify laterality (right vs. left)
  • Misclassification of fracture displacement
  • Omission of associated injuries or conditions

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

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

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive evaluations and treatment plans that outline rehabilitation goals and progress.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture for strength and mobility.

Billing Considerations

Documentation should reflect the functional limitations and progress of the patient.

Coding Guidelines

Inclusion Criteria

Use S72.424 When
  • According to ICD
  • CM guidelines, S72
  • 424 should be used when the fracture is confirmed as nondisplaced and specifically located at the lateral condyle of the right femur
  • It is important to document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S72.424 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Open treatment of femoral condyle fracture

Clinical Scenario

Used when surgical intervention is required for a nondisplaced fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

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 patient records and billing. S72.424 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and billing. S72.424 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning and reimbursement.

Reimbursement & Billing Impact

billing. S72.424 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning and 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 fracture?

A displaced fracture involves a break where the bone fragments are misaligned, while a nondisplaced fracture means the bone remains in its normal position despite the fracture.