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ICD-10 Guide
ICD-10 CodesS72.046

S72.046

Billable

Nondisplaced fracture of base of neck of unspecified femur

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

Code Description

ICD-10 S72.046 is a billable code used to indicate a diagnosis of nondisplaced fracture of base of neck of unspecified femur.

Key Diagnostic Point:

A nondisplaced fracture of the base of the neck of the femur refers to a break in the bone that does not result in the bone fragments being displaced from their normal anatomical position. This type of fracture is often associated with low-energy trauma, such as falls, particularly in older adults with osteoporotic bones. The base of the neck of the femur is a critical area as it is involved in hip joint stability and mobility. Patients may present with hip pain, inability to bear weight, and limited range of motion. 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 if there is a risk of complications such as avascular necrosis. Understanding the nuances of this fracture type is essential for appropriate coding and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of fracture types and locations
  • Differentiation between displaced and nondisplaced fractures
  • Potential for associated injuries that may complicate coding
  • Need for precise anatomical terminology in documentation

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to specify laterality or exact location
  • Misclassification of fracture type (displaced vs. nondisplaced)
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes, and follow-up assessments are essential.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of fracture type and treatment plan to avoid coding errors.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans and progress notes are necessary.

Common Clinical Scenarios

Rehabilitation following hip fractures, including physical therapy interventions.

Billing Considerations

Document functional limitations and progress to support coding for therapy services.

Coding Guidelines

Inclusion Criteria

Use S72.046 When
  • Follow official ICD
  • CM guidelines for coding fractures, including the need for specificity regarding the location and type of fracture
  • Ensure that documentation supports the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use S72.046 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27130CPT Code

Total hip arthroplasty

Clinical Scenario

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

Documentation Requirements

Surgical notes detailing the procedure and indications 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 patient records and facilitating better treatment planning.

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 facilitating better treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and facilitating better treatment planning.

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 fracture?

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