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ICD-10 Guide
ICD-10 CodesS72.343

S72.343

Billable

Displaced spiral fracture of shaft of unspecified femur

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

Code Description

ICD-10 S72.343 is a billable code used to indicate a diagnosis of displaced spiral fracture of shaft of unspecified femur.

Key Diagnostic Point:

A displaced spiral fracture of the shaft of the femur is a type of fracture characterized by a helical break in the bone, which can occur due to high-energy trauma, such as falls or motor vehicle accidents. This injury is particularly concerning due to the potential for significant displacement of the fracture fragments, which can lead to complications such as malunion or nonunion if not properly managed. The femur, being the longest and strongest bone in the body, plays a crucial role in weight-bearing and mobility. Displaced fractures often require surgical intervention, such as intramedullary nailing or plate fixation, to realign the bone fragments and stabilize the fracture site. The management of these fractures typically involves a multidisciplinary approach, including orthopedic surgeons, physical therapists, and pain management specialists. Post-operative care is essential to ensure proper healing and rehabilitation, with a focus on restoring function and preventing complications. Accurate coding of this condition is vital for appropriate reimbursement and tracking of orthopedic trauma cases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Need for precise documentation of displacement
  • Differentiation from non-displaced fractures
  • Potential for associated injuries (e.g., soft tissue damage)

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to specify laterality or location
  • Misclassification of fracture type
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or high-impact accidents requiring surgical intervention.

Billing Considerations

Ensure that all relevant details about the fracture type, displacement, and surgical approach are documented.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans and progress notes detailing functional outcomes.

Common Clinical Scenarios

Post-operative rehabilitation following femur fractures to restore mobility and strength.

Billing Considerations

Documentation should reflect the patient's functional status and rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use S72.343 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, displacement, and any associated injuries
  • Include details about the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S72.343 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of femoral shaft fracture

Clinical Scenario

Used in conjunction with S72.343 for surgical repair of the fracture.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and the surgical approach.

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 details about displacement and fracture patterns, which aids in better tracking and management of orthopedic injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and fracture patterns, which aids in better tracking and management of orthopedic injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and fracture patterns, which aids in better tracking and management of orthopedic injuries.

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 non-displaced spiral fracture?

A displaced spiral fracture involves a separation of the fracture fragments, while a non-displaced fracture means the bone remains aligned despite the fracture.