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ICD-10 Guide
ICD-10 CodesS72.065

S72.065

Billable

Nondisplaced articular fracture of head of left femur

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

Code Description

ICD-10 S72.065 is a billable code used to indicate a diagnosis of nondisplaced articular fracture of head of left femur.

Key Diagnostic Point:

A nondisplaced articular fracture of the head of the left femur refers to a fracture that occurs in the upper part of the femur, specifically at the femoral head, which is the ball-shaped structure that fits into the hip socket. This type of fracture is characterized by the absence of displacement, meaning that 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 osteoporosis. Clinically, patients may present with hip pain, inability to bear weight, and limited range of motion. 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 such as avascular necrosis. Understanding the nuances of this fracture type is crucial for appropriate management and coding.

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
  • Variability in treatment approaches based on patient age and health status
  • Need for precise documentation of imaging findings

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries or complications
  • Misclassification of displaced vs. nondisplaced fractures
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of nondisplaced fractures, management of hip fractures in elderly patients, and post-operative rehabilitation.

Billing Considerations

Ensure that the documentation clearly states the type of fracture and any surgical interventions performed.

Emergency Medicine

Documentation Requirements

Accurate initial assessment notes, imaging results, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with hip pain after a fall, requiring immediate imaging and pain management.

Billing Considerations

Document the mechanism of injury and any immediate interventions provided.

Coding Guidelines

Inclusion Criteria

Use S72.065 When
  • According to ICD
  • 10 guidelines, S72
  • 065 should be used when the fracture is confirmed as nondisplaced and located at the head of the left femur
  • It is important to document the specific nature of the fracture and any associated injuries

Exclusion Criteria

Do NOT use S72.065 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 required for nondisplaced fractures that may lead to complications.

Documentation Requirements

Operative report detailing the procedure and indications for surgery.

Specialty Considerations

Orthopedic surgeons should ensure that the rationale for surgery is clearly documented.

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 tracking and management of orthopedic injuries.

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 tracking and management of orthopedic injuries.

Reimbursement & Billing Impact

reimbursement and compliance.

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 in the bone where the ends are not aligned, while a nondisplaced fracture means the bone cracks but maintains its normal position.