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ICD-10 Guide
ICD-10 CodesS72.12

S72.12

Billable

Fracture of lesser trochanter of femur

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

Code Description

ICD-10 S72.12 is a billable code used to indicate a diagnosis of fracture of lesser trochanter of femur.

Key Diagnostic Point:

The lesser trochanter of the femur is a small, bony prominence located on the femur, just below the neck of the femur. Fractures of the lesser trochanter are relatively uncommon and often occur in conjunction with other femoral fractures, particularly in the context of high-energy trauma or in patients with underlying conditions such as osteoporosis. These fractures can be classified as either avulsion fractures, where a muscle or tendon pulls off a piece of bone, or as stress fractures due to repetitive loading. Clinically, 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 vary from conservative management with rest and physical therapy to surgical intervention, particularly in cases where the fracture is displaced or associated with significant instability. Understanding the mechanism of injury and the patient's overall health status is crucial for effective management and recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated injuries
  • Differentiation between avulsion and stress fractures
  • Need for precise imaging interpretation
  • Potential for concurrent hip dislocations or other fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture (e.g., avulsion vs. stress)
  • Lack of imaging reports to support the diagnosis
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and post-operative care plans are essential for accurate coding.

Common Clinical Scenarios

Surgical repair of lesser trochanter fractures, management of hip dislocations, and treatment of associated femoral injuries.

Billing Considerations

Ensure that all surgical interventions and any complications are thoroughly documented to support coding.

Emergency Medicine

Documentation Requirements

Accurate documentation of initial assessment, imaging, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute hip pain following trauma, requiring imaging and potential referral to orthopedic surgery.

Billing Considerations

Document the mechanism of injury clearly to support the diagnosis and any subsequent coding.

Coding Guidelines

Inclusion Criteria

Use S72.12 When
  • Follow official ICD
  • CM guidelines for coding fractures, including specificity regarding the type of fracture and any associated injuries
  • Ensure that documentation supports the diagnosis and treatment plan

Exclusion Criteria

Do NOT use S72.12 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27236CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used when surgical intervention is required for a fracture of the lesser trochanter.

Documentation Requirements

Operative report detailing the procedure, indications, and any complications.

Specialty Considerations

Orthopedic surgeons should ensure that all aspects of the surgery are documented for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, including those of the lesser trochanter. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including those of the lesser trochanter. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding fractures, including those of the lesser trochanter. This specificity aids in better tracking of treatment outcomes 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 primary treatment for a fracture of the lesser trochanter?

Treatment may vary based on the fracture type and stability. Conservative management includes rest and physical therapy, while surgical intervention may be necessary for displaced fractures.