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ICD-10 Guide
ICD-10 CodesS72.064

S72.064

Billable

Nondisplaced articular fracture of head of right femur

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

Code Description

ICD-10 S72.064 is a billable code used to indicate a diagnosis of nondisplaced articular fracture of head of right femur.

Key Diagnostic Point:

A nondisplaced articular fracture of the head of the right femur refers to a fracture that occurs at the uppermost part of the femur, where it articulates with the acetabulum of the pelvis. 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 the result of low-energy trauma, such as falls, particularly in older adults with osteoporotic bones. Clinically, patients may present with hip pain, limited range of motion, and inability to bear weight on the affected leg. Diagnosis is typically confirmed through imaging studies, including X-rays or MRI, which can help assess the extent of the fracture and any associated injuries. Treatment may involve conservative management with pain control and physical therapy, or surgical intervention if there is a risk of complications or if the fracture is associated with other injuries. Understanding the implications of this fracture type is crucial for orthopedic trauma surgery, as it can significantly impact the patient's mobility and quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical location and implications of articular involvement
  • Potential for associated injuries in the hip region
  • Variability in treatment approaches based on patient age and comorbidities

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to specify laterality (right vs. left)
  • Misclassification of fracture displacement status
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and follow-up assessments are essential for accurate coding.

Common Clinical Scenarios

Patients presenting with hip pain after a fall, elderly patients with osteoporosis, and those requiring surgical intervention.

Billing Considerations

Documentation must clearly indicate the nondisplaced nature of the fracture and any associated injuries.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans must be documented thoroughly.

Common Clinical Scenarios

Patients presenting to the ER with acute hip pain following trauma.

Billing Considerations

Timely documentation is critical to ensure accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use S72.064 When
  • According to ICD
  • 10 guidelines, S72
  • 064 should be used when the fracture is confirmed as nondisplaced and specifically located at the head of the right femur
  • Coders must ensure that the documentation supports the diagnosis and that all relevant details are included

Exclusion Criteria

Do NOT use S72.064 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 due to complications from the fracture.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery clearly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including the distinction between displaced and nondisplaced fractures, which aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the distinction between displaced and nondisplaced fractures, which aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the distinction between displaced and nondisplaced fractures, which aids in better patient management and resource allocation.

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