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ICD-10 Guide
ICD-10 CodesS72.32

S72.32

Billable

Transverse fracture of shaft of femur

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

Code Description

ICD-10 S72.32 is a billable code used to indicate a diagnosis of transverse fracture of shaft of femur.

Key Diagnostic Point:

A transverse fracture of the shaft of the femur is characterized by a horizontal break across the femoral shaft, typically resulting from high-energy trauma such as falls, motor vehicle accidents, or sports injuries. This type of fracture can lead to significant functional impairment and may require surgical intervention, such as intramedullary nailing or plating, to stabilize the bone and promote healing. Patients often present with severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through radiographic imaging, which reveals the fracture line and any associated displacement. Complications may include nonunion, malunion, or infection, particularly if surgical intervention is necessary. Management strategies focus on pain control, immobilization, and rehabilitation to restore function and mobility. The transverse nature of the fracture typically indicates a more stable fracture pattern compared to oblique or spiral fractures, which may influence treatment decisions and recovery timelines.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of femur fractures (transverse vs. oblique vs. spiral)
  • Understanding the mechanism of injury and its impact on treatment
  • Identifying associated injuries (e.g., hip dislocations, other fractures)
  • Documentation of surgical interventions and post-operative care

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture (transverse vs. other types)
  • Lack of clarity in surgical notes regarding fixation methods
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from falls in elderly patients, sports injuries in younger patients, and trauma cases from vehicular accidents.

Billing Considerations

Ensure that all surgical interventions and follow-up care are documented to support the coding of S72.32.

Emergency Medicine

Documentation Requirements

Thorough documentation of initial assessment, imaging results, and treatment provided in the emergency department.

Common Clinical Scenarios

Patients presenting with acute pain and inability to bear weight after trauma.

Billing Considerations

Accurate coding requires clear documentation of the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S72.32 When
  • According to ICD
  • 10 coding guidelines, S72
  • 32 should be used when a transverse fracture of the femoral shaft is confirmed through imaging
  • It is important to document the specific location of the fracture and any associated injuries

Exclusion Criteria

Do NOT use S72.32 When
  • Exclusions include fractures that are not classified as transverse or those that involve the femoral neck

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of femoral shaft fracture

Clinical Scenario

Used when surgical intervention is performed for a transverse fracture of the femur.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons must ensure that all aspects of the surgery are documented to support the coding.

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 ability to differentiate between types of femoral fractures. This specificity 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 ability to differentiate between types of femoral fractures. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement and compliance.

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 primary treatment for a transverse fracture of the femur?

The primary treatment often involves surgical intervention to stabilize the fracture, such as intramedullary nailing or plating, followed by rehabilitation to restore function.