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ICD-10 Guide
ICD-10 CodesS72.364

S72.364

Billable

Nondisplaced segmental fracture of shaft of right femur

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

Code Description

ICD-10 S72.364 is a billable code used to indicate a diagnosis of nondisplaced segmental fracture of shaft of right femur.

Key Diagnostic Point:

A nondisplaced segmental fracture of the shaft of the right femur refers to a specific type of bone injury where the femur, the longest bone in the body, sustains a fracture that does not result in the bone fragments being displaced from their normal anatomical position. This type of fracture can occur due to high-energy trauma, such as falls or vehicular accidents, and is characterized by the presence of two or more fracture lines in the same bone segment. Although the fracture is nondisplaced, it can still be associated with significant pain, swelling, and functional impairment. Patients may present with an inability to bear weight on the affected leg and may require imaging studies, such as X-rays or CT scans, to confirm the diagnosis and assess the extent of the injury. Treatment typically involves conservative management with immobilization or surgical intervention, depending on the fracture's stability and the patient's overall health. Orthopedic trauma surgery may be necessary to realign the bone fragments and stabilize the fracture using internal fixation devices, such as plates or intramedullary nails.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and classifications
  • Differentiation between displaced and nondisplaced fractures
  • Knowledge of specific anatomical terminology
  • Understanding of associated injuries and complications

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to specify laterality (right vs. left)
  • Misinterpretation of imaging results
  • Inconsistent terminology in clinical notes

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 falls, sports injuries, or motor vehicle accidents.

Billing Considerations

Ensure that all fracture details are documented, including the mechanism of injury and any associated soft tissue injuries.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans must be clearly documented.

Common Clinical Scenarios

Patients presenting with acute limb pain after trauma, requiring immediate evaluation and possible stabilization.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S72.364 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture type, location, and laterality are accurately captured
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S72.364 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 document the specifics of the fracture and 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. S72.364 provides detailed information about the type and location of the fracture, which is essential for treatment planning and outcomes tracking.

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. S72.364 provides detailed information about the type and location of the fracture, which is essential for treatment planning and outcomes tracking.

Reimbursement & Billing Impact

reimbursement processes. S72.364 provides detailed information about the type and location of the fracture, which is essential for treatment planning and outcomes tracking.

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 maintains its proper alignment.