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ICD-10 Guide
ICD-10 CodesS72.352

S72.352

Billable

Displaced comminuted fracture of shaft of left femur

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

Code Description

ICD-10 S72.352 is a billable code used to indicate a diagnosis of displaced comminuted fracture of shaft of left femur.

Key Diagnostic Point:

A displaced comminuted fracture of the shaft of the left femur is a severe orthopedic injury characterized by the breaking of the femur into multiple fragments, with the fracture ends not aligned properly. This type of fracture typically occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. The displacement of the fracture fragments can lead to complications such as vascular injury, nerve damage, and malunion or nonunion of the bone. Patients often present with severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, including X-rays or CT scans, which reveal the extent of the fracture and any associated injuries. Treatment usually involves surgical intervention, such as intramedullary nailing or plating, to stabilize the fracture and promote healing. Post-operative care includes pain management, physical therapy, and monitoring for potential complications.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed documentation of fracture type and displacement
  • Involves understanding of orthopedic terminology and anatomy
  • Potential for multiple associated injuries requiring additional coding
  • Surgical intervention details must be accurately captured

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to capture associated injuries
  • Incorrect coding of surgical procedures
  • Misinterpretation of imaging results

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 trauma, sports injuries, or falls in elderly patients.

Billing Considerations

Ensure that all fracture details, including location, type, and treatment, are clearly documented.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans must be documented thoroughly.

Common Clinical Scenarios

Patients presenting with acute trauma and suspected fractures.

Billing Considerations

Timely documentation is critical to capture the nature of the injury and any immediate interventions.

Coding Guidelines

Inclusion Criteria

Use S72.352 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details of surgical procedures performed if applicable

Exclusion Criteria

Do NOT use S72.352 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 displaced comminuted fracture.

Documentation Requirements

Operative report detailing the procedure and any implants used.

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, improving the accuracy of patient records and facilitating better tracking of treatment outcomes. S72.352 provides a clear distinction for displaced comminuted fractures, which aids in clinical decision-making and resource allocation.

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. S72.352 provides a clear distinction for displaced comminuted fractures, which aids in clinical decision-making and resource allocation.

Reimbursement & Billing Impact

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. S72.352 provides a clear distinction for displaced comminuted fractures, which aids in clinical decision-making and resource allocation.

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 a simple fracture?

A comminuted fracture involves the bone being broken into multiple pieces, while a simple fracture is a clean break with two fragments. Comminuted fractures are typically more complex and require more extensive treatment.