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ICD-10 Guide
ICD-10 CodesS72.345

S72.345

Billable

Nondisplaced spiral fracture of shaft of left femur

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

Code Description

ICD-10 S72.345 is a billable code used to indicate a diagnosis of nondisplaced spiral fracture of shaft of left femur.

Key Diagnostic Point:

A nondisplaced spiral fracture of the shaft of the left femur is characterized by a fracture line that spirals around the femoral shaft without any significant displacement of the bone fragments. This type of fracture often occurs due to torsional forces, such as those experienced in sports injuries or falls. Clinically, patients may present with localized pain, swelling, and limited mobility in the affected leg. Diagnosis is typically confirmed through imaging studies, such as X-rays, which reveal the fracture pattern. Treatment usually involves conservative management, including immobilization with a brace or cast, and physical therapy to restore function. Surgical intervention may be considered if there are complications or if the fracture does not heal properly. Understanding the nature of this fracture is crucial for orthopedic trauma surgery, as it can impact the choice of treatment and rehabilitation strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and their implications for treatment.
  • Differentiation from displaced fractures which may require different coding.
  • Need for precise documentation of the fracture location and type.
  • Potential for associated injuries that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify laterality (left vs. right).
  • Misclassification of fracture type (nondisplaced vs. displaced).
  • Lack of follow-up documentation on healing progress.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the fracture type, treatment plan, and follow-up care.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents.

Billing Considerations

Documentation must clearly indicate the nondisplaced nature of the fracture to avoid coding errors.

Physical Therapy

Documentation Requirements

Progress notes on rehabilitation and functional outcomes.

Common Clinical Scenarios

Patients recovering from femur fractures requiring rehabilitation.

Billing Considerations

Therapists should document the patient's mobility status and any complications.

Coding Guidelines

Inclusion Criteria

Use S72.345 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated injuries

Exclusion Criteria

Do NOT use S72.345 When
  • Exclude codes for displaced fractures or other femoral injuries that do not match the specific description of S72

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of femoral shaft fracture

Clinical Scenario

Used when surgical intervention is required for a femoral fracture.

Documentation Requirements

Operative reports detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the fracture type and treatment rationale.

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 treatment plans. S72.345 provides a clear distinction for nondisplaced fractures, which aids in 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 treatment plans. S72.345 provides a clear distinction for nondisplaced fractures, which aids in 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 fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments moving out of alignment.