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ICD-10 Guide
ICD-10 CodesS72.035

S72.035

Billable

Nondisplaced midcervical fracture of left femur

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

Code Description

ICD-10 S72.035 is a billable code used to indicate a diagnosis of nondisplaced midcervical fracture of left femur.

Key Diagnostic Point:

A nondisplaced midcervical fracture of the left femur refers to a break in the femur that occurs in the midcervical region, which is located just below the neck of the femur. This type of fracture is characterized by the absence of displacement, meaning the bone fragments remain aligned and in their normal anatomical position. Such fractures are commonly associated with low-energy trauma, such as falls, particularly in elderly patients with osteoporosis. Clinical evaluation typically includes physical examination and imaging studies, such as X-rays or MRI, to confirm the diagnosis and assess the extent of the injury. Treatment often involves conservative management, including pain control, physical therapy, and weight-bearing restrictions, although surgical intervention may be necessary in some cases to prevent complications. Understanding the nuances of this fracture type is crucial for accurate coding and appropriate management in orthopedic trauma surgery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the fracture location (midcervical)
  • Differentiation between displaced and nondisplaced fractures
  • Potential for associated injuries (e.g., hip dislocations)
  • Variability in treatment approaches (surgical vs. conservative)

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to specify laterality (left vs. right)
  • Misclassification of fracture displacement
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from falls in elderly patients, sports injuries in younger patients, and post-operative complications.

Billing Considerations

Ensure that all relevant imaging and treatment plans are documented to support the coding decision.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation plans are necessary.

Common Clinical Scenarios

Rehabilitation following femoral fractures, including physical therapy protocols.

Billing Considerations

Documentation should reflect the patient's progress and any modifications to the rehabilitation plan.

Coding Guidelines

Inclusion Criteria

Use S72.035 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture type, location, and laterality are accurately documented
  • Include any associated conditions or complications that may affect treatment

Exclusion Criteria

Do NOT use S72.035 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used when surgical intervention is required for a nondisplaced midcervical fracture.

Documentation Requirements

Operative report detailing the procedure and any complications.

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 treatment plans. S72.035 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for appropriate management.

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 treatment plans. S72.035 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for appropriate management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and treatment plans. S72.035 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for appropriate management.

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 midcervical fracture?

A displaced fracture involves a separation of the bone fragments, while a nondisplaced fracture means the bone remains in its normal alignment despite the break.