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ICD-10 Guide
ICD-10 CodesS72.365

S72.365

Billable

Nondisplaced segmental fracture of shaft of left femur

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

Code Description

ICD-10 S72.365 is a billable code used to indicate a diagnosis of nondisplaced segmental fracture of shaft of left femur.

Key Diagnostic Point:

A nondisplaced segmental fracture of the shaft of the left femur refers to a specific type of bone injury where the femur, the longest bone in the body, experiences a fracture that does not result in the bone fragments being misaligned. This type of fracture typically occurs due to high-energy trauma, such as falls or vehicular accidents, and can be associated with significant soft tissue injury. Segmental fractures involve two or more fracture lines in the same bone, which can complicate healing and may require surgical intervention. The left femur is specifically indicated in this code, which is crucial for accurate coding and treatment planning. Patients may present with 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 evaluation, potential surgical fixation, and rehabilitation to restore function and mobility.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the fracture type (nondisplaced segmental)
  • Location of the fracture (left femur)
  • Potential for associated soft tissue injuries
  • Need for precise documentation of fracture characteristics

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre/post-operative assessments.

Common Clinical Scenarios

Surgical fixation of femoral fractures, management of complex fractures, and post-operative rehabilitation.

Billing Considerations

Ensure accurate documentation of fracture type, location, and any associated injuries to support coding.

Emergency Medicine

Documentation Requirements

Comprehensive patient history, physical examination findings, and imaging results.

Common Clinical Scenarios

Initial assessment and stabilization of patients with femoral fractures, including pain management and referral to orthopedic specialists.

Billing Considerations

Document mechanism of injury and any immediate interventions performed to support coding and billing.

Coding Guidelines

Inclusion Criteria

Use S72.365 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the patient's condition
  • Include documentation of the fracture type, laterality, and any associated injuries

Exclusion Criteria

Do NOT use S72.365 When
  • Exclude codes for displaced fractures or other femoral injuries not specified as segmental

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of femoral fracture

Clinical Scenario

Used when surgical intervention is required for a nondisplaced segmental fracture.

Documentation Requirements

Operative report detailing the procedure performed and the fracture characteristics.

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 patient records and facilitating better treatment planning. S72.365 provides a clear indication of the fracture type and location, which is essential for appropriate management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and facilitating better treatment planning. S72.365 provides a clear indication of the fracture type and location, which is essential for appropriate management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and facilitating better treatment planning. S72.365 provides a clear indication of the fracture type and location, which is essential for appropriate management.

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 misalignment of the bone fragments, while a nondisplaced fracture maintains the alignment of the bone despite the fracture.