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ICD-10 Guide
ICD-10 CodesS72.025

S72.025

Billable

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

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

Code Description

ICD-10 S72.025 is a billable code used to indicate a diagnosis of nondisplaced fracture of epiphysis (separation) (upper) of left femur.

Key Diagnostic Point:

A nondisplaced fracture of the epiphysis of the upper left femur refers to a specific type of injury where the growth plate (epiphysis) at the upper end of the femur is separated but remains in alignment. This type of fracture is commonly seen in pediatric patients due to falls or sports injuries. The epiphyseal plate is crucial for bone growth, and injuries here can affect future growth and development. Symptoms typically include localized pain, swelling, and limited range of motion in the hip joint. Diagnosis is confirmed through imaging studies such as X-rays or MRI, which can reveal the fracture's nature and extent. Treatment often involves immobilization and monitoring, with surgical intervention considered if there is a risk of displacement or growth disturbances. Understanding the implications of such fractures is essential for orthopedic specialists, as they can lead to complications like avascular necrosis or limb length discrepancies if not managed properly.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the implications of epiphyseal injuries in pediatric patients
  • Need for precise documentation of the fracture type and location
  • Potential for associated injuries in the hip region

Audit Risk Factors

  • Inadequate documentation of the fracture type and location
  • Failure to note associated injuries or complications
  • Misclassification of fracture displacement status
  • Inconsistent use of imaging reports in documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the fracture type, treatment plan, and follow-up care.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or trauma in pediatric patients.

Billing Considerations

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

Pediatrics

Documentation Requirements

Thorough history and physical examination notes, including developmental milestones.

Common Clinical Scenarios

Evaluation of children presenting with hip pain or limping after trauma.

Billing Considerations

Awareness of the implications of epiphyseal injuries on growth and development.

Coding Guidelines

Inclusion Criteria

Use S72.025 When
  • According to ICD
  • 10 guidelines, S72
  • 025 should be used when the fracture is confirmed as nondisplaced and specifically involves the upper epiphysis of the left femur
  • Coders must ensure accurate documentation of the fracture's nature and any associated injuries

Exclusion Criteria

Do NOT use S72.025 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used in cases where surgical intervention is necessary for displaced fractures.

Documentation Requirements

Detailed operative notes and imaging studies.

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, including the differentiation between displaced and nondisplaced fractures, which aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the differentiation between displaced and nondisplaced fractures, which aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the differentiation between displaced and nondisplaced fractures, which aids in better tracking of treatment outcomes and resource allocation.

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 S72.025 accurately?

Accurate coding of S72.025 is crucial for proper treatment planning, reimbursement, and tracking of patient outcomes, especially in pediatric populations where growth implications are significant.