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ICD-10 Guide
ICD-10 CodesS72.045

S72.045

Billable

Nondisplaced fracture of base of neck of left femur

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

Code Description

ICD-10 S72.045 is a billable code used to indicate a diagnosis of nondisplaced fracture of base of neck of left femur.

Key Diagnostic Point:

A nondisplaced fracture of the base of the neck of the left femur refers to a break in the femur that does not result in the bone fragments being misaligned. This type of fracture is often associated with low-energy trauma, such as falls, particularly in older adults with osteoporotic bones. The neck of the femur is a critical area for hip function, and fractures here can lead to significant morbidity, including pain, decreased mobility, and complications such as avascular necrosis. Diagnosis typically involves imaging studies, such as X-rays or MRI, to confirm the fracture and assess for any associated injuries. Treatment may include conservative management with pain control and physical therapy or surgical intervention, depending on the patient's age, activity level, and overall health. Proper coding is essential for accurate billing and to ensure appropriate management of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific anatomical terminology
  • Differentiation from other types of femoral fractures
  • Need for precise documentation of fracture type and location
  • Potential for associated injuries that may complicate coding

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to capture associated injuries
  • Misclassification of fracture type (displaced vs. nondisplaced)
  • Inconsistent use of imaging results in documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging results, and follow-up notes are essential.

Common Clinical Scenarios

Fractures resulting from falls in elderly patients, sports injuries in younger patients.

Billing Considerations

Documentation must clearly indicate the type of fracture and any surgical interventions performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation plans.

Common Clinical Scenarios

Post-fracture rehabilitation, pain management strategies.

Billing Considerations

Focus on functional outcomes and the impact of the fracture on daily activities.

Coding Guidelines

Inclusion Criteria

Use S72.045 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is documented as nondisplaced and specifying the left femur
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S72.045 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27125CPT Code

Total hip arthroplasty

Clinical Scenario

Used in cases where surgical intervention is required for nondisplaced fractures that do not heal properly.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

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 data collection and reimbursement processes. S72.045 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning and outcomes tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S72.045 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning and outcomes tracking.

Reimbursement & Billing Impact

reimbursement processes. S72.045 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning and outcomes tracking.

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 nondisplaced and displaced fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments being misaligned.