ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS72.402

S72.402

Billable

Unspecified fracture of lower end of left femur

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

Code Description

ICD-10 S72.402 is a billable code used to indicate a diagnosis of unspecified fracture of lower end of left femur.

Key Diagnostic Point:

An unspecified fracture of the lower end of the left femur refers to a break in the femur bone, specifically at the distal end near the knee joint. This type of fracture can occur due to various mechanisms, including trauma from falls, sports injuries, or vehicular accidents. The lower end of the femur is critical for knee stability and function, and fractures in this area can lead to significant complications, including malunion, nonunion, and knee joint dysfunction. Symptoms typically include localized pain, swelling, and inability to bear weight on the affected leg. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI. Treatment may involve conservative management with immobilization or surgical intervention, depending on the fracture's severity and displacement. Understanding the nuances of this fracture type is essential for appropriate management and coding, as it can significantly impact patient outcomes and healthcare costs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Need for precise documentation of fracture details
  • Potential for multiple associated injuries
  • Differentiation from similar codes

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to capture associated injuries
  • Misinterpretation of imaging results
  • Inconsistent coding practices among providers

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 in elderly patients, sports-related injuries in younger patients, and post-traumatic fractures.

Billing Considerations

Documentation must specify the fracture type, location, and any surgical interventions performed.

Emergency Medicine

Documentation Requirements

Thorough initial assessment notes, imaging results, and treatment plans are critical.

Common Clinical Scenarios

Patients presenting with acute limb pain following trauma, requiring immediate evaluation and management.

Billing Considerations

Accurate coding relies on clear documentation of the mechanism of injury and initial treatment provided.

Coding Guidelines

Inclusion Criteria

Use S72.402 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the fracture's specifics
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S72.402 When
  • Exclude codes for fractures that are specified as open or complicated

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of femoral fracture

Clinical Scenario

Used when surgical intervention is performed for the fracture.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons must ensure accurate coding of the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of fractures, improving data accuracy and patient care. S72.402 provides a clear framework for documenting unspecified fractures, which can help in tracking treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of fractures, improving data accuracy and patient care. S72.402 provides a clear framework for documenting unspecified fractures, which can help in tracking treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of fractures, improving data accuracy and patient care. S72.402 provides a clear framework for documenting unspecified fractures, which can help in tracking treatment outcomes and resource allocation.

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 S72.402 and S72.403?

S72.402 refers to an unspecified fracture of the lower end of the left femur, while S72.403 specifies an open fracture of the same location, which has different treatment and coding implications.