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ICD-10 Guide
ICD-10 CodesS72.022

S72.022

Billable

Displaced fracture of epiphysis (separation) (upper) of left femur

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

Code Description

ICD-10 S72.022 is a billable code used to indicate a diagnosis of displaced fracture of epiphysis (separation) (upper) of left femur.

Key Diagnostic Point:

A displaced fracture of the upper epiphysis of the left femur typically occurs in pediatric patients, often as a result of trauma such as falls or sports injuries. This type of fracture involves the separation of the growth plate (epiphyseal plate) from the femoral head, which can lead to complications if not properly treated. The displacement indicates that the fracture fragments have moved out of their normal alignment, which can affect the hip joint's function and growth. Diagnosis is usually confirmed through imaging studies, such as X-rays or MRI, which reveal the extent of the fracture and any associated injuries. Treatment often involves orthopedic intervention, which may include closed reduction and immobilization or surgical fixation, depending on the severity and displacement of the fracture. Proper management is crucial to prevent long-term complications such as avascular necrosis or limb length discrepancies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and non-displaced fractures
  • Understanding the implications of epiphyseal injuries in pediatric patients
  • Knowledge of associated complications and their coding
  • Variability in treatment approaches and documentation requirements

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries or complications
  • Misinterpretation of imaging results
  • Inconsistent terminology used in clinical notes

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 accidents in pediatric patients.

Billing Considerations

Documentation must clearly indicate the type of fracture, treatment provided, and any complications.

Pediatrics

Documentation Requirements

Growth and development assessments, as well as detailed injury history.

Common Clinical Scenarios

Injuries from play or sports, often requiring careful monitoring of growth plate involvement.

Billing Considerations

Consideration of growth plate implications and potential long-term effects on development.

Coding Guidelines

Inclusion Criteria

Use S72.022 When
  • According to ICD
  • 10 guidelines, S72
  • 022 should be used when the fracture is confirmed as displaced and specifically involves the upper epiphysis of the left femur
  • It is important to document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S72.022 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used when surgical intervention is required for displaced femoral fractures.

Documentation Requirements

Operative reports detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and treatment.

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 laterality and displacement, 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 laterality and displacement, 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 significance of coding S72.022 accurately?

Accurate coding of S72.022 is crucial for proper treatment planning, reimbursement, and tracking of pediatric fracture outcomes. It ensures that healthcare providers can monitor complications and provide appropriate follow-up care.