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ICD-10 Guide
ICD-10 CodesS72.131

S72.131

Billable

Displaced apophyseal fracture of right femur

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

Code Description

ICD-10 S72.131 is a billable code used to indicate a diagnosis of displaced apophyseal fracture of right femur.

Key Diagnostic Point:

A displaced apophyseal fracture of the right femur typically occurs at the site of muscle attachment, often seen in adolescents and young adults due to sports injuries or trauma. This type of fracture involves the separation of the growth plate (apophysis) from the femur, which can lead to complications if not treated properly. The displacement indicates that the fracture fragments have moved out of their normal alignment, which can affect the function of the hip joint and surrounding musculature. Clinical presentation may include severe pain, swelling, and an inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, such as X-rays or MRI, which reveal the fracture's location and displacement. Treatment often involves orthopedic intervention, which may include surgical fixation to realign the bone fragments and stabilize the fracture. Rehabilitation is crucial for restoring function and strength to the hip and leg following the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific anatomical terminology related to the femur and hip.
  • Differentiation from other types of femoral fractures and dislocations.
  • Need for precise documentation of displacement and associated injuries.
  • Potential for complications that may require additional coding.

Audit Risk Factors

  • Inadequate documentation of the fracture type and displacement.
  • Failure to specify laterality (right vs. left).
  • Misclassification of fracture type (e.g., apophyseal vs. diaphyseal).
  • Lack of imaging reports to support the diagnosis.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or trauma requiring surgical intervention.

Billing Considerations

Documentation must clearly indicate the type of fracture, displacement, and any surgical procedures performed.

Emergency Medicine

Documentation Requirements

Comprehensive notes on patient assessment, imaging results, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with acute hip pain following trauma or injury.

Billing Considerations

Timely documentation is critical to support the diagnosis and any subsequent referrals to orthopedic specialists.

Coding Guidelines

Inclusion Criteria

Use S72.131 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated conditions
  • Include details from imaging studies and surgical reports to support the diagnosis

Exclusion Criteria

Do NOT use S72.131 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of femoral fracture

Clinical Scenario

Used when surgical intervention is required for a displaced apophyseal fracture.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and treatment 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, including displaced apophyseal fractures, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including displaced apophyseal fractures, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including displaced apophyseal fractures, which enhances the accuracy of patient records and treatment plans.

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 S72.131 accurately?

Accurate coding of S72.131 is crucial for proper treatment planning, reimbursement, and tracking of orthopedic injuries. It ensures that healthcare providers can deliver appropriate care and that patients receive the necessary follow-up.