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ICD-10 Guide
ICD-10 CodesS72.355

S72.355

Billable

Nondisplaced comminuted fracture of shaft of left femur

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

Code Description

ICD-10 S72.355 is a billable code used to indicate a diagnosis of nondisplaced comminuted fracture of shaft of left femur.

Key Diagnostic Point:

A nondisplaced comminuted fracture of the shaft of the left femur refers to a type of bone fracture where the femur, which is the longest bone in the body, experiences multiple fragments but remains in its anatomical position. This type of fracture typically occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. Although the bone is fractured into several pieces, the fragments do not shift out of alignment, which can lead to a more favorable healing process compared to displaced fractures. Patients may present with severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture pattern. Treatment often involves orthopedic intervention, including possible surgical fixation to stabilize the fracture and promote healing. Rehabilitation is crucial for restoring function and strength in the affected limb.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding comminuted fracture terminology
  • Identifying the specific location of the fracture
  • Documenting the mechanism of injury accurately

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and follow-up assessments are essential.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of fracture type and treatment plan to avoid coding errors.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute limb pain and swelling after trauma.

Billing Considerations

Timely and accurate documentation is critical for proper coding and billing.

Coding Guidelines

Inclusion Criteria

Use S72.355 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated injuries
  • Include details about the mechanism of injury and treatment plan

Exclusion Criteria

Do NOT use S72.355 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 required for stabilization of the fracture.

Documentation Requirements

Operative report detailing the procedure performed and any implants used.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding of the procedure in relation to the fracture type.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the differentiation between displaced and nondisplaced fractures, which aids in better treatment planning and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the differentiation between displaced and nondisplaced fractures, which aids in better treatment planning and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the differentiation between displaced and nondisplaced fractures, which aids in better treatment planning 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 nondisplaced and a displaced fracture?

A nondisplaced fracture means the bone fragments remain in alignment, while a displaced fracture indicates that the fragments have shifted out of their normal position.