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ICD-10 Guide
ICD-10 CodesS72.356

S72.356

Billable

Nondisplaced comminuted fracture of shaft of unspecified femur

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

Code Description

ICD-10 S72.356 is a billable code used to indicate a diagnosis of nondisplaced comminuted fracture of shaft of unspecified femur.

Key Diagnostic Point:

A nondisplaced comminuted fracture of the shaft of the femur is characterized by the presence of multiple fracture lines without significant displacement of the bone fragments. This type of fracture typically occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. The femur, being the longest and strongest bone in the body, can sustain such injuries under extreme forces. Clinically, patients may present with severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, primarily X-rays, which reveal the fracture pattern. Treatment often involves conservative management with immobilization or surgical intervention, depending on the fracture's stability and the patient's overall health. Surgical options may include intramedullary nailing or plating to ensure proper alignment and healing. Rehabilitation is crucial for restoring function and strength post-injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture patterns and descriptions
  • Need for precise documentation of fracture type and location
  • Differentiation from other femoral fractures
  • Potential for associated injuries requiring additional coding

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to capture associated injuries
  • Misclassification of fracture type
  • Inconsistent use of imaging reports

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure that all fracture details are documented, including the mechanism of injury and any surgical interventions performed.

Emergency Medicine

Documentation Requirements

Thorough documentation of initial assessment, imaging results, and any immediate interventions.

Common Clinical Scenarios

Patients presenting with acute limb pain following trauma.

Billing Considerations

Accurate coding requires clear documentation of the mechanism of injury and any associated injuries.

Coding Guidelines

Inclusion Criteria

Use S72.356 When
  • Follow official ICD
  • CM guidelines for coding fractures, including the need for specificity in fracture type and location
  • Ensure compliance with guidelines regarding the use of additional codes for associated injuries

Exclusion Criteria

Do NOT use S72.356 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 nondisplaced comminuted fracture.

Documentation Requirements

Operative report detailing the procedure and any implants used.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding based on 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 data collection and reimbursement processes. S72.356 provides a clear distinction for nondisplaced comminuted fractures, which aids in clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S72.356 provides a clear distinction for nondisplaced comminuted fractures, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. S72.356 provides a clear distinction for nondisplaced comminuted fractures, which aids in clinical management and research.

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.