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ICD-10 Guide
ICD-10 CodesS72.354

S72.354

Billable

Nondisplaced comminuted fracture of shaft of right femur

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

Code Description

ICD-10 S72.354 is a billable code used to indicate a diagnosis of nondisplaced comminuted fracture of shaft of right femur.

Key Diagnostic Point:

A nondisplaced comminuted fracture of the shaft of the right femur refers to a type of bone fracture where the femur, the longest bone in the body, experiences multiple fragments but remains aligned without significant displacement. This injury often occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. Patients may present with severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis typically involves imaging studies, such as X-rays or CT scans, to assess the fracture pattern and rule out associated injuries. Treatment may vary from conservative management with immobilization to surgical intervention, depending on the fracture's stability and the patient's overall health. Understanding the nuances of this fracture type is crucial for orthopedic surgeons and medical coders alike, as accurate coding impacts treatment plans and reimbursement processes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and location
  • Differentiation between displaced and nondisplaced fractures
  • Potential for associated injuries requiring additional coding
  • Variability in treatment approaches impacting coding

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to specify laterality (right vs. left)
  • Misclassification of fracture type (comminuted vs. simple)
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

Documentation must clearly indicate the fracture type, treatment plan, and any complications.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute trauma and suspected fractures.

Billing Considerations

Timely documentation is critical to ensure accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use S72.354 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of fracture type, laterality, and any associated injuries
  • Include relevant imaging studies and treatment plans in the medical record

Exclusion Criteria

Do NOT use S72.354 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Open treatment of femoral shaft fracture

Clinical Scenario

Used when surgical intervention is performed for fracture stabilization.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding of the procedure performed.

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 reimbursement processes. S72.354 provides detailed information about the fracture type and location, which is crucial for treatment planning.

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 reimbursement processes. S72.354 provides detailed information about the fracture type and location, which is crucial for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S72.354 provides detailed information about the fracture type and location, which is crucial for treatment planning.

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 nondisplaced fracture?

A displaced fracture involves a break in the bone where the ends are not aligned, while a nondisplaced fracture means the bone cracks but remains in its normal position.