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ICD-10 Guide
ICD-10 CodesS72.125

S72.125

Billable

Nondisplaced fracture of lesser trochanter of left femur

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

Code Description

ICD-10 S72.125 is a billable code used to indicate a diagnosis of nondisplaced fracture of lesser trochanter of left femur.

Key Diagnostic Point:

A nondisplaced fracture of the lesser trochanter of the left femur is a specific type of hip fracture that occurs at the lesser trochanter, a bony prominence located on the femur just below the hip joint. This type of fracture is often associated with low-energy trauma, such as falls, particularly in older adults or individuals with weakened bone density. The fracture is termed 'nondisplaced' because the bone fragments remain in their normal anatomical alignment, which can lead to less severe symptoms compared to displaced fractures. Patients may present with hip pain, difficulty bearing weight, and limited range of motion. Diagnosis typically involves physical examination and imaging studies, such as X-rays or MRI, to confirm the fracture and assess for any associated injuries. Treatment may include conservative management with rest, pain control, and physical therapy, although surgical intervention may be necessary in cases where the fracture leads to significant functional impairment or does not heal properly. Understanding the nuances of this fracture type is crucial for orthopedic surgeons and medical coders alike, as accurate coding impacts treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the fracture location (lesser trochanter)
  • Differentiation between displaced and nondisplaced fractures
  • Potential for associated injuries in the hip region
  • Variability in treatment approaches based on patient age and health status

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from falls in elderly patients, sports injuries in younger patients, and post-operative complications.

Billing Considerations

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

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation goals must be documented.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture, focusing on mobility and strength training.

Billing Considerations

Document the patient's progress and any complications that may arise during rehabilitation.

Coding Guidelines

Inclusion Criteria

Use S72.125 When
  • According to ICD
  • 10 coding guidelines, S72
  • 125 should be used when the documentation specifies a nondisplaced fracture of the lesser trochanter of the left femur
  • It is important to ensure that the documentation supports the diagnosis and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use S72.125 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of femoral neck fracture

Clinical Scenario

Used when surgical intervention is required for a displaced fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding based on the type of fracture.

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 the ability to differentiate between displaced and nondisplaced fractures. This specificity aids in better treatment planning and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to differentiate between displaced and nondisplaced fractures. This specificity aids in better treatment planning and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to differentiate between displaced and nondisplaced fractures. This specificity aids in better 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 remains in its normal position despite the fracture.