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ICD-10 Guide
ICD-10 CodesS72.061

S72.061

Billable

Displaced articular fracture of head of right femur

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

Code Description

ICD-10 S72.061 is a billable code used to indicate a diagnosis of displaced articular fracture of head of right femur.

Key Diagnostic Point:

A displaced articular fracture of the head of the right femur is a serious orthopedic injury that typically occurs due to high-energy trauma, such as falls or motor vehicle accidents. This type of fracture involves a break in the bone that disrupts the joint surface, leading to potential complications such as avascular necrosis, post-traumatic arthritis, and impaired mobility. The displacement of the fracture fragments can cause misalignment of the joint, necessitating surgical intervention to restore proper anatomy and function. Treatment often involves orthopedic trauma surgery, which may include internal fixation techniques such as the use of plates, screws, or intramedullary nails. Rehabilitation is crucial for recovery, focusing on restoring range of motion, strength, and functional mobility. Accurate coding of this condition is essential for appropriate treatment planning, reimbursement, and tracking of outcomes in orthopedic care.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires precise documentation of fracture type and displacement.
  • Differentiation from non-displaced fractures and other femoral injuries.
  • Potential for multiple associated injuries in trauma cases.
  • Need for detailed surgical procedure coding if surgery is performed.

Audit Risk Factors

  • Inadequate documentation of fracture displacement.
  • Failure to capture associated injuries or complications.
  • Incorrect coding of surgical procedures performed.
  • Misalignment with clinical findings in the medical record.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre- and post-operative assessments.

Common Clinical Scenarios

Surgical repair of displaced femoral head fractures, management of complications like avascular necrosis.

Billing Considerations

Ensure accurate documentation of fracture classification and surgical techniques used.

Emergency Medicine

Documentation Requirements

Comprehensive trauma assessments, imaging results, and initial treatment plans.

Common Clinical Scenarios

Initial evaluation and stabilization of patients with hip fractures.

Billing Considerations

Document mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S72.061 When
  • Follow official ICD
  • CM guidelines for coding fractures, including specificity for the location, type, and displacement of the fracture
  • Ensure compliance with guidelines for coding associated injuries and complications

Exclusion Criteria

Do NOT use S72.061 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27236CPT Code

Open treatment of femoral head fracture

Clinical Scenario

Used when surgical intervention is performed to repair the displaced fracture.

Documentation Requirements

Operative report detailing the procedure, fixation method, and any complications.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and the surgical approach taken.

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. S72.061 provides detailed information that can enhance patient care 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. S72.061 provides detailed information that can enhance patient care and outcomes tracking.

Reimbursement & Billing Impact

reimbursement processes. S72.061 provides detailed information that can enhance patient care 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 S72.061 and S72.051?

S72.061 refers to a displaced articular fracture of the head of the right femur, while S72.051 refers to a non-displaced fracture. The distinction is crucial for treatment planning and coding accuracy.