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ICD-10 Guide
ICD-10 CodesS72.362

S72.362

Billable

Displaced segmental fracture of shaft of left femur

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

Code Description

ICD-10 S72.362 is a billable code used to indicate a diagnosis of displaced segmental fracture of shaft of left femur.

Key Diagnostic Point:

A displaced segmental fracture of the shaft of the left femur is a complex orthopedic injury characterized by a break in the femur that results in two or more fragments, with at least one fragment being displaced from its normal anatomical position. 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 malunion or nonunion if not properly managed. Patients may 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 fracture pattern and displacement. Treatment often 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. Given the complexity of this injury, accurate coding is essential for appropriate reimbursement and tracking of orthopedic trauma cases.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed understanding of fracture types and classifications.
  • Involves knowledge of surgical interventions and their coding.
  • Documentation must specify the displacement and segmental nature of the fracture.
  • Potential for multiple associated injuries complicating coding.

Audit Risk Factors

  • Inadequate documentation of fracture details.
  • Failure to specify laterality (left vs. right).
  • Incorrect coding of associated injuries.
  • Lack of clarity in surgical procedure documentation.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging results, and post-operative notes are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or vehicular accidents requiring surgical intervention.

Billing Considerations

Ensure that all fracture details, including displacement and segmental nature, are clearly documented.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with acute trauma and suspected femoral fractures.

Billing Considerations

Accurate documentation of mechanism of injury and initial treatment provided is crucial.

Coding Guidelines

Inclusion Criteria

Use S72.362 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is coded to the highest level of specificity
  • Include laterality and the specific type of fracture
  • displaced fractures or fractures of other femur parts

Exclusion Criteria

Do NOT use S72.362 When
  • Exclude codes for non

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 segmental fracture.

Documentation Requirements

Operative report detailing the procedure, fixation method, and post-operative care.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and the surgical approach taken.

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 ability to denote displacement and segmental nature, which is crucial for accurate treatment tracking and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to denote displacement and segmental nature, which is crucial for accurate treatment tracking and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 non-displaced segmental fracture?

A displaced segmental fracture involves the bone being broken into multiple pieces with at least one piece being misaligned, while a non-displaced fracture means the bone fragments remain in their normal position.