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ICD-10 Guide
ICD-10 CodesS72.134

S72.134

Billable

Nondisplaced apophyseal fracture of right femur

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

Code Description

ICD-10 S72.134 is a billable code used to indicate a diagnosis of nondisplaced apophyseal fracture of right femur.

Key Diagnostic Point:

A nondisplaced apophyseal fracture of the right femur refers to a fracture occurring at the site of an apophysis, which is a bony outgrowth where muscles and tendons attach. This type of fracture is characterized by the absence of displacement, meaning the bone fragments remain in their normal anatomical position. Such fractures are common in adolescents and young adults, particularly in those involved in sports or physical activities that place stress on the hip and thigh region. The right femur is the long bone in the thigh, and fractures in this area can lead to significant pain, swelling, and limited mobility. Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays or MRI, to confirm the fracture and assess any associated injuries. Treatment often includes conservative management with rest, ice, compression, and elevation (RICE), along with physical therapy to restore function. In some cases, surgical intervention may be necessary, especially if there are concerns about growth plate involvement or if the fracture does not heal properly. Understanding the nuances of this fracture type is crucial for accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Identifying the specific location of the fracture on the femur
  • Understanding the implications of apophyseal injuries in growing adolescents
  • Navigating the documentation requirements for orthopedic evaluations

Audit Risk Factors

  • Inadequate documentation of the fracture type and location
  • Failure to specify the nondisplaced nature of the fracture
  • Misclassification of the fracture as displaced
  • Lack of imaging reports to support the diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the nondisplaced nature of the fracture and any associated injuries.

Pediatrics

Documentation Requirements

Growth charts and developmental assessments may be necessary to evaluate the impact of the fracture on growth.

Common Clinical Scenarios

Fractures in active children or adolescents, particularly those involved in sports.

Billing Considerations

Consideration of growth plate involvement and potential long-term effects on bone development.

Coding Guidelines

Inclusion Criteria

Use S72.134 When
  • According to ICD
  • 10 coding guidelines, S72
  • 134 should be used when the fracture is confirmed as nondisplaced and specifically located at the apophysis of the right femur
  • Coders must ensure that the documentation supports the diagnosis and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use S72.134 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Arthroscopy, hip, surgical

Clinical Scenario

Used when surgical intervention is required for hip fractures.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery.

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 the distinction between displaced and nondisplaced fractures, which aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the distinction between displaced and nondisplaced fractures, which aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the distinction between displaced and nondisplaced fractures, which 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 difference between a displaced and nondisplaced apophyseal fracture?

A displaced fracture involves a separation of the bone fragments, while a nondisplaced fracture means the bone remains in its normal alignment despite the fracture.