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 CodesS72.35

S72.35

Billable

Comminuted fracture of shaft of femur

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

Code Description

ICD-10 S72.35 is a billable code used to indicate a diagnosis of comminuted fracture of shaft of femur.

Key Diagnostic Point:

A comminuted fracture of the shaft of the femur is characterized by the bone being broken into multiple fragments, typically as a result of high-energy trauma such as a fall from a height, motor vehicle accidents, or severe sports injuries. This type of fracture can lead to significant complications, including malunion, nonunion, and infection, particularly if surgical intervention is required. The femur, being the longest and strongest bone in the body, plays a crucial role in weight-bearing and mobility. Treatment often involves orthopedic surgery, which may include internal fixation with plates and screws or intramedullary nailing to stabilize the fracture. Post-operative rehabilitation is essential for restoring function and strength. Given the complexity of the injury and the potential for associated soft tissue damage, accurate coding is vital for appropriate management and reimbursement.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in fracture patterns and severity
  • Potential for associated injuries (e.g., vascular or nerve damage)
  • Need for surgical intervention and post-operative care
  • Documentation of mechanism of injury and treatment plan

Audit Risk Factors

  • Inadequate documentation of fracture type and treatment
  • Failure to document associated injuries
  • Incorrect coding of fracture location or type
  • Lack of clarity in the mechanism of injury

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 high-energy trauma, falls, or sports injuries requiring surgical intervention.

Billing Considerations

Ensure documentation reflects the complexity of the fracture and any associated injuries.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute trauma and suspected femur fractures needing immediate care.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S72.35 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and treatment
  • Include any associated injuries or complications in the coding process

Exclusion Criteria

Do NOT use S72.35 When
No specific exclusions found.

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 comminuted fracture.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the complexity 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 the ability to specify the type and location of femur fractures, which enhances the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to specify the type and location of femur fractures, which enhances the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 comminuted fracture and other types of fractures?

A comminuted fracture involves the bone being broken into multiple fragments, while other types, such as simple or transverse fractures, involve fewer pieces and are typically easier to treat.