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ICD-10 Guide
ICD-10 CodesS72.124

S72.124

Billable

Nondisplaced fracture of lesser trochanter of right femur

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

Code Description

ICD-10 S72.124 is a billable code used to indicate a diagnosis of nondisplaced fracture of lesser trochanter of right femur.

Key Diagnostic Point:

A nondisplaced fracture of the lesser trochanter of the right 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 trauma, such as falls or direct impacts, and is more common in individuals with weakened bone density, such as the elderly or those with osteoporosis. Unlike displaced fractures, the bone fragments remain in alignment, which may lead to less severe symptoms and a potentially quicker recovery. Clinical presentation typically includes localized pain in the hip region, difficulty in weight-bearing, and limited range of motion. Diagnosis is confirmed through imaging studies, such as X-rays or MRI, which can reveal the fracture's location and nature. Treatment may involve conservative management, including rest and physical therapy, or surgical intervention in more severe cases. Understanding the nuances of this fracture type is crucial for appropriate coding and management in orthopedic trauma surgery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the fracture location
  • Differentiation between displaced and nondisplaced fractures
  • Potential for associated injuries in the hip region
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to specify laterality (right vs. left)
  • Misclassification of fracture displacement
  • Lack of imaging reports in the medical record

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or osteoporosis-related incidents.

Billing Considerations

Ensure that the documentation clearly states the fracture type and any associated injuries to avoid coding errors.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation plans are necessary.

Common Clinical Scenarios

Patients recovering from hip fractures requiring rehabilitation services.

Billing Considerations

Documenting the patient's progress and any complications is crucial for accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use S72.124 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is coded based on the specific site and type
  • Include laterality and any associated conditions

Exclusion Criteria

Do NOT use S72.124 When
  • Exclude codes for displaced fractures or other unrelated injuries

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used when surgical intervention is required for a nondisplaced fracture.

Documentation Requirements

Surgical notes detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

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. S72.124 provides a clear distinction between nondisplaced and displaced fractures, which is critical for treatment planning and resource allocation.

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. S72.124 provides a clear distinction between nondisplaced and displaced fractures, which is critical for treatment planning and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. S72.124 provides a clear distinction between nondisplaced and displaced fractures, which is critical for treatment planning 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 break in the bone where the ends are not aligned, while a nondisplaced fracture means the bone cracks but maintains its proper alignment.