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ICD-10 Guide
ICD-10 CodesS72.123

S72.123

Billable

Displaced fracture of lesser trochanter of unspecified femur

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

Code Description

ICD-10 S72.123 is a billable code used to indicate a diagnosis of displaced fracture of lesser trochanter of unspecified femur.

Key Diagnostic Point:

A displaced fracture of the lesser trochanter of the femur is a specific type of hip fracture that occurs at the lesser trochanter, a bony prominence located on the femur just below the neck of the femur. This type of fracture is often associated with high-energy trauma, such as falls or motor vehicle accidents, and can lead to significant morbidity if not properly managed. The displacement of the fracture indicates that the bone fragments have moved out of their normal alignment, which can complicate treatment and recovery. Patients may present with severe pain in the hip or groin area, inability to bear weight on the affected leg, and visible deformity. Diagnosis typically involves imaging studies such as X-rays or CT scans to confirm the fracture and assess the degree of displacement. Treatment often requires surgical intervention, such as internal fixation, to realign the bone fragments and stabilize the fracture. Rehabilitation is crucial for restoring function and mobility post-surgery, and the prognosis can vary based on the patient's age, overall health, and adherence to rehabilitation protocols.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and location
  • Differentiation between displaced and non-displaced fractures
  • Potential for multiple associated injuries in trauma cases
  • Variability in surgical approaches and techniques

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to note associated injuries or complications
  • Incorrect coding of the fracture type (displaced vs. non-displaced)
  • Lack of clarity in surgical documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments are essential.

Common Clinical Scenarios

Fractures resulting from falls in elderly patients, sports injuries in younger patients, and trauma from accidents.

Billing Considerations

Documentation must clearly indicate the type of fracture, treatment performed, and any complications encountered.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute hip pain following trauma, requiring immediate imaging and stabilization.

Billing Considerations

Timely documentation is critical for coding and billing, especially in trauma cases.

Coding Guidelines

Inclusion Criteria

Use S72.123 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • displaced fractures or fractures of other femur parts unless specified

Exclusion Criteria

Do NOT use S72.123 When
  • Exclude codes for non

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used in conjunction with S72.123 when surgical intervention is performed.

Documentation Requirements

Operative report detailing the procedure, fixation method, and post-operative care.

Specialty Considerations

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

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 patient records and treatment plans. S72.123 provides a clear distinction for displaced fractures, which is crucial for appropriate management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and treatment plans. S72.123 provides a clear distinction for displaced fractures, which is crucial for appropriate management and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 significance of coding S72.123 accurately?

Accurate coding of S72.123 is crucial for ensuring appropriate treatment plans, reimbursement, and tracking of outcomes for patients with hip fractures. It helps in identifying the severity of the injury and the necessary surgical interventions.