Intertrochanteric fracture of femur
ICD-10 S72.14 is a billable code used to indicate a diagnosis of intertrochanteric fracture of femur.
An intertrochanteric fracture of the femur is a type of hip fracture that occurs in the region between the greater and lesser trochanters of the femur. This fracture is commonly seen in older adults, particularly those with osteoporosis, and is often the result of low-energy falls. The intertrochanteric region is critical for the attachment of muscles that stabilize the hip joint, making these fractures significant in terms of mobility and rehabilitation. Clinically, patients may present with severe hip pain, inability to bear weight, and a characteristic external rotation of the affected leg. Diagnosis is typically confirmed through imaging studies such as X-rays or CT scans. Treatment often involves surgical intervention, such as internal fixation with plates or intramedullary nails, to restore stability and allow for early mobilization. Post-operative care and rehabilitation are crucial for recovery, as complications such as non-union or avascular necrosis can occur if not managed properly.
Detailed operative reports, imaging studies, and post-operative notes are essential for accurate coding.
Surgical repair of intertrochanteric fractures, management of complications, and follow-up care.
Ensure that all surgical techniques and materials used are documented to support coding.
Comprehensive assessments of functional status and rehabilitation progress.
Rehabilitation following surgical repair of hip fractures, management of pain and mobility issues.
Documenting the patient's baseline functional status and progress is critical for coding.
Used in cases where intertrochanteric fractures are severe and require joint replacement.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document the rationale for choosing arthroplasty over fixation.
The primary treatment typically involves surgical fixation to stabilize the fracture and allow for early mobilization.
