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ICD-10 Guide
ICD-10 CodesS72.363

S72.363

Billable

Displaced segmental fracture of shaft of unspecified femur

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

Code Description

ICD-10 S72.363 is a billable code used to indicate a diagnosis of displaced segmental fracture of shaft of unspecified femur.

Key Diagnostic Point:

A displaced segmental fracture of the shaft of the femur is a serious 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 often occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. The displacement can lead to complications such as malunion or nonunion if not treated appropriately. Patients typically 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 usually involves surgical intervention, such as internal fixation with plates or intramedullary nails, to stabilize the fracture and promote healing. Post-operative care includes pain management, physical therapy, and monitoring for potential complications. Given the complexity of the injury and the potential for associated injuries, such as hip dislocations or vascular compromise, a multidisciplinary approach is often required for optimal recovery.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in fracture patterns and displacement
  • Need for precise documentation of fracture type and location
  • Potential for associated injuries requiring additional coding
  • Variability in surgical interventions and post-operative care

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to capture associated injuries
  • Incorrect coding of the type of fracture (displaced vs. non-displaced)
  • Lack of clarity in operative reports regarding surgical procedures

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, surgical fixation procedures, and post-operative complications.

Billing Considerations

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

Emergency Medicine

Documentation Requirements

Accurate initial assessment notes, imaging results, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with acute trauma, pain management, and initial stabilization.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S72.363 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's nature, location, and any associated injuries
  • Include details from imaging studies and operative reports to support coding decisions

Exclusion Criteria

Do NOT use S72.363 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of femoral shaft fracture

Clinical Scenario

Used in conjunction with S72.363 for surgical fixation of the fracture.

Documentation Requirements

Operative report detailing the procedure performed, including fixation method.

Specialty Considerations

Orthopedic surgeons must ensure that the procedure aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including displaced segmental fractures, which enhances the accuracy of patient records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including displaced segmental fractures, which enhances the accuracy of patient records and billing.

Reimbursement & Billing Impact

billing.

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 fracture?

A displaced fracture involves a break in the bone where the ends are not aligned, while a non-displaced fracture means the bone cracks but maintains its proper alignment.