Nondisplaced midcervical fracture of unspecified femur
ICD-10 S72.036 is a billable code used to indicate a diagnosis of nondisplaced midcervical fracture of unspecified femur.
A nondisplaced midcervical fracture of the femur refers to a break in the femur that occurs in the midcervical region, which is located near the neck of the femur. This type of fracture is characterized by the absence of displacement, meaning the bone fragments remain in their normal anatomical position. Such fractures are often seen in elderly patients due to falls or in younger individuals due to high-impact trauma. The midcervical area is critical for hip function, and fractures here can lead to significant pain, limited mobility, and complications such as avascular necrosis if not properly managed. Treatment typically involves conservative management with pain control, physical therapy, and in some cases, surgical intervention to stabilize the fracture. Accurate coding is essential for appropriate treatment planning and reimbursement, as well as for tracking outcomes in orthopedic trauma surgery.
Detailed imaging reports, surgical notes, and follow-up assessments are necessary to support the diagnosis and treatment plan.
Patients presenting with hip pain after a fall, elderly patients with osteoporosis, and trauma patients with multiple injuries.
Ensure that the documentation clearly states the nondisplaced nature of the fracture and any associated injuries.
Initial assessment notes, imaging results, and any immediate interventions performed in the emergency setting.
Patients presenting to the ER after falls, motor vehicle accidents, or sports injuries.
Document the mechanism of injury and any relevant patient history that may affect treatment.
Used in cases where surgical intervention is required for nondisplaced fractures that do not heal properly.
Operative reports detailing the procedure and indications for surgery.
Orthopedic surgeons must document the rationale for surgical intervention.
A displaced midcervical fracture involves a separation of the bone fragments, while a nondisplaced fracture means the fragments remain aligned. This distinction is crucial for treatment and coding.