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ICD-10 Guide
ICD-10 CodesS72.39

S72.39

Billable

Other fracture of shaft of femur

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

Code Description

ICD-10 S72.39 is a billable code used to indicate a diagnosis of other fracture of shaft of femur.

Key Diagnostic Point:

The S72.39 code is used to classify fractures of the shaft of the femur that do not fall into more specific categories. These fractures can occur due to various mechanisms, including high-energy trauma such as motor vehicle accidents or falls, particularly in older adults. The femur, being the longest and strongest bone in the body, can sustain significant forces, leading to complex fracture patterns. Fractures of the femoral shaft may be associated with other injuries, including hip fractures and dislocations, which complicate the clinical picture. Treatment often involves orthopedic intervention, which may include surgical fixation or intramedullary nailing, depending on the fracture's location and severity. Accurate coding is essential for proper reimbursement and tracking of orthopedic trauma cases. Documentation should detail the mechanism of injury, fracture type, and any associated injuries to ensure appropriate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of fracture types and locations within the femur
  • Potential for associated injuries (e.g., hip fractures, dislocations)
  • Need for detailed documentation of the mechanism of injury
  • Variability in treatment approaches (surgical vs. conservative)

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify associated injuries
  • Misclassification of fracture type
  • Lack of clarity on treatment provided

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and notes on the mechanism of injury.

Common Clinical Scenarios

Fractures resulting from falls in elderly patients, high-energy trauma in younger patients, and post-surgical complications.

Billing Considerations

Ensure that all associated injuries are documented to support the use of S72.39.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with acute trauma, often requiring immediate stabilization and imaging.

Billing Considerations

Accurate documentation of the mechanism of injury is crucial for coding and treatment planning.

Coding Guidelines

Inclusion Criteria

Use S72.39 When
  • Follow ICD
  • CM coding guidelines, ensuring that the code is used for fractures not specified elsewhere
  • Include documentation of the fracture type, location, and any associated injuries

Exclusion Criteria

Do NOT use S72.39 When
  • Exclude codes for specific types of femur fractures that have their own classifications

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 femur shaft fracture.

Documentation Requirements

Operative report detailing the procedure and any complications.

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 femur fractures, improving data accuracy and reimbursement processes. S72.39 provides a catch-all for fractures that do not fit into more specific categories, but it requires careful documentation to justify its use.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of femur fractures, improving data accuracy and reimbursement processes. S72.39 provides a catch-all for fractures that do not fit into more specific categories, but it requires careful documentation to justify its use.

Reimbursement & Billing Impact

reimbursement processes. S72.39 provides a catch-all for fractures that do not fit into more specific categories, but it requires careful documentation to justify its use.

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 S72.39 and other femur fracture codes?

S72.39 is used for unspecified fractures of the femur shaft, while other codes specify the location and type of fracture, such as neck or head fractures.