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ICD-10 Guide
ICD-10 CodesS72.10

S72.10

Billable

Unspecified trochanteric fracture of femur

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

Code Description

ICD-10 S72.10 is a billable code used to indicate a diagnosis of unspecified trochanteric fracture of femur.

Key Diagnostic Point:

A trochanteric fracture of the femur refers to a break in the upper part of the femur, specifically around the greater or lesser trochanter. These fractures are often categorized as hip fractures and can occur due to trauma, such as falls, or as a result of osteoporosis in older adults. The unspecified nature of this code indicates that the specific location of the fracture within the trochanteric region is not documented. Trochanteric fractures are significant because they can lead to complications such as prolonged immobility, increased risk of further fractures, and potential surgical interventions. Treatment typically involves surgical fixation to stabilize the fracture and facilitate healing, followed by rehabilitation to restore mobility. Accurate coding is crucial for appropriate management and reimbursement, as these fractures are common in orthopedic trauma surgery and require careful documentation of the mechanism of injury, patient history, and treatment plan.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of fracture specifics
  • Need for precise anatomical terminology
  • Differentiation from other types of hip fractures
  • Potential for multiple associated injuries

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to document the mechanism of injury
  • Lack of follow-up documentation post-surgery
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging results, and patient history.

Common Clinical Scenarios

Patients presenting with hip pain after a fall, elderly patients with osteoporosis, and post-operative follow-ups.

Billing Considerations

Ensure clear documentation of fracture type, location, and surgical interventions performed.

Emergency Medicine

Documentation Requirements

Accurate assessment notes, imaging interpretations, and initial treatment plans.

Common Clinical Scenarios

Patients with acute hip pain following trauma, dislocations, or other orthopedic emergencies.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S72.10 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the code is used when the specific type of trochanteric fracture is not documented
  • Include additional codes for any associated injuries or conditions

Exclusion Criteria

Do NOT use S72.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27125CPT Code

Total hip arthroplasty

Clinical Scenario

Used in cases where a trochanteric fracture requires joint replacement due to severe damage.

Documentation Requirements

Operative report detailing the procedure and indications for surgery.

Specialty Considerations

Orthopedic surgeons must document the rationale for choosing arthroplasty over fixation.

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. S72.10 provides a means to capture unspecified trochanteric fractures, which can help in tracking treatment outcomes and resource utilization.

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. S72.10 provides a means to capture unspecified trochanteric fractures, which can help in tracking treatment outcomes and resource utilization.

Reimbursement & Billing Impact

reimbursement processes. S72.10 provides a means to capture unspecified trochanteric fractures, which can help in tracking treatment outcomes and resource utilization.

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 S72.10 and S72.11?

S72.10 is used for unspecified trochanteric fractures, while S72.11 specifies a fracture of the greater trochanter. Accurate documentation is essential to determine the correct code.