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ICD-10 Guide
ICD-10 CodesS72.25

S72.25

Billable

Nondisplaced subtrochanteric fracture of left femur

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

Code Description

ICD-10 S72.25 is a billable code used to indicate a diagnosis of nondisplaced subtrochanteric fracture of left femur.

Key Diagnostic Point:

A nondisplaced subtrochanteric fracture of the left femur refers to a specific type of hip fracture occurring just below the lesser trochanter of the femur. This injury is characterized by a break in the femur that does not result in the bone fragments being displaced from their normal anatomical position. Such fractures are often the result of low-energy trauma, particularly in older adults with osteoporotic bones, but can also occur in younger individuals due to high-impact activities or falls. Clinical presentation typically includes localized pain, swelling, and difficulty bearing weight on the affected leg. Diagnosis is confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture line and assess for any associated injuries. Treatment usually involves conservative management with pain control and physical therapy, although surgical intervention may be necessary in certain cases to stabilize the fracture and restore function. 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
  • Understanding the implications of associated injuries
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to specify laterality (left vs. right)
  • Misclassification of fracture displacement
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and pre-operative assessments are essential.

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, treatment plan, and any complications.

Emergency Medicine

Documentation Requirements

Accurate triage notes, initial assessment findings, and imaging results.

Common Clinical Scenarios

Patients presenting with acute hip pain following trauma, often requiring immediate imaging.

Billing Considerations

Document the mechanism of injury and any associated injuries to support coding.

Coding Guidelines

Inclusion Criteria

Use S72.25 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's characteristics, including laterality and displacement
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S72.25 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of femoral fracture, proximal or subtrochanteric

Clinical Scenario

Used when surgical intervention is required for stabilization of the fracture.

Documentation Requirements

Operative report detailing the procedure, indications, and post-operative care.

Specialty Considerations

Orthopedic surgeons must ensure that the procedure aligns with the diagnosis for accurate billing.

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 granularity of data for research and treatment outcomes. S72.25 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data for research and treatment outcomes. S72.25 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 subtrochanteric fracture?

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