Displaced fracture of epiphysis (separation) (upper) of unspecified femur
ICD-10 S72.023 is a billable code used to indicate a diagnosis of displaced fracture of epiphysis (separation) (upper) of unspecified femur.
A displaced fracture of the epiphysis of the upper femur, often referred to as a hip fracture, occurs when there is a separation at the growth plate of the femur, which can lead to significant complications if not treated properly. This type of fracture is commonly seen in pediatric populations due to falls or trauma, but can also occur in adults, particularly in the elderly due to osteoporosis. The displacement of the fracture can affect blood supply to the femoral head, increasing the risk of avascular necrosis. Clinical presentation typically includes severe hip pain, inability to bear weight, and deformity of the hip joint. Diagnosis is confirmed through imaging studies such as X-rays or MRI, which can reveal the extent of the fracture and any associated injuries. Treatment often involves orthopedic intervention, which may include surgical fixation to realign the bone fragments and stabilize the joint. Post-operative care and rehabilitation are crucial for restoring function and preventing complications.
Detailed operative reports, imaging studies, and post-operative notes are essential for accurate coding.
Common scenarios include hip fractures due to falls in elderly patients, sports injuries in adolescents, and trauma from motor vehicle accidents.
Documentation must clearly indicate the type of fracture, any surgical interventions performed, and the patient's recovery progress.
Thorough documentation of initial assessment, imaging results, and any immediate interventions performed.
Patients presenting with acute hip pain following trauma, often requiring immediate imaging and stabilization.
Accurate coding requires clear documentation of the mechanism of injury and any associated injuries.
Used in cases of severe hip fractures requiring joint replacement.
Operative report detailing the procedure, indication for surgery, and post-operative care plan.
Orthopedic surgeons must document the extent of the fracture and any complications.
S72.023 refers to a displaced fracture of the upper femur without specifying laterality, while S72.021 specifies a displaced fracture of the right femur.
