ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS72.26

S72.26

Billable

Nondisplaced subtrochanteric fracture of unspecified femur

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

Code Description

ICD-10 S72.26 is a billable code used to indicate a diagnosis of nondisplaced subtrochanteric fracture of unspecified femur.

Key Diagnostic Point:

A nondisplaced subtrochanteric fracture of the femur occurs just below the lesser trochanter, which is a bony prominence on the femur. This type of fracture is characterized by the absence of significant displacement of the fracture fragments, meaning the bone ends remain in alignment. 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. Clinically, patients may present with hip pain, inability to bear weight, and swelling or bruising around the hip area. Diagnosis is typically confirmed through imaging studies such as X-rays or CT scans. Treatment may involve conservative management with pain control and physical therapy, or surgical intervention if the fracture is unstable or if the patient is unable to mobilize. Understanding the nuances of this fracture type is crucial for appropriate management and coding, as it can significantly impact patient outcomes and healthcare costs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for precise imaging interpretation to confirm diagnosis
  • Differentiation from other types of femoral fractures
  • Potential for associated injuries in the hip region

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, 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 clear documentation of fracture characteristics and treatment plans to support coding.

Emergency Medicine

Documentation Requirements

Accurate initial assessment notes, imaging results, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with hip pain after trauma, requiring immediate imaging and pain management.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S72.26 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include laterality when applicable

Exclusion Criteria

Do NOT use S72.26 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of femoral fracture, subtrochanteric region

Clinical Scenario

Used when surgical intervention is required for a nondisplaced subtrochanteric fracture.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery and any complications.

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 accuracy of patient records and facilitating better tracking of treatment outcomes. S72.26 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for appropriate management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and facilitating better tracking of treatment outcomes. S72.26 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for appropriate management 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 nondisplaced and displaced subtrochanteric fracture?

A nondisplaced subtrochanteric fracture means that the bone fragments remain in alignment, while a displaced fracture indicates that the fragments have moved out of their normal position, which may require surgical intervention.