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ICD-10 Guide
ICD-10 CodesS72.412

S72.412

Billable

Displaced unspecified condyle fracture of lower end of left femur

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

Code Description

ICD-10 S72.412 is a billable code used to indicate a diagnosis of displaced unspecified condyle fracture of lower end of left femur.

Key Diagnostic Point:

A displaced condyle fracture of the lower end of the left femur is a significant orthopedic injury that typically occurs due to high-energy trauma, such as falls or vehicular accidents. This type of fracture involves the distal femur, specifically affecting the condyles, which are the rounded ends of the femur that articulate with the tibia at the knee joint. The displacement indicates that the fracture fragments are not aligned properly, which can lead to complications such as malunion, nonunion, or knee joint instability if not treated appropriately. Symptoms often include severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, primarily X-rays, and sometimes CT scans for detailed assessment. Treatment usually involves surgical intervention to realign the bone fragments, stabilize the fracture with plates or screws, and rehabilitation to restore function. The complexity of managing such fractures lies in the need for precise surgical techniques and careful postoperative care to ensure optimal recovery and minimize long-term complications.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed documentation of fracture type and displacement
  • Involves surgical intervention with potential for complications
  • Need for accurate imaging interpretation
  • Potential for co-morbid conditions affecting recovery

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to document surgical interventions performed
  • Lack of follow-up notes on recovery progress
  • Misclassification of fracture type or location

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up assessments are essential.

Common Clinical Scenarios

Fractures resulting from falls in elderly patients, sports injuries in younger patients, and trauma from accidents.

Billing Considerations

Ensure that all surgical interventions and post-operative care details are documented to support the coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans and progress notes are necessary.

Common Clinical Scenarios

Patients undergoing rehabilitation post-surgery for femoral fractures.

Billing Considerations

Document functional assessments and therapy goals to support the need for ongoing care.

Coding Guidelines

Inclusion Criteria

Use S72.412 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical documentation
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S72.412 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Open treatment of distal femoral fracture

Clinical Scenario

Used when surgical intervention is performed for the fracture.

Documentation Requirements

Operative report detailing the procedure and any implants used.

Specialty Considerations

Orthopedic surgeons must ensure that all aspects of the surgery are documented for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding fractures, which aids in better tracking of treatment outcomes and resource allocation in orthopedic care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding fractures, which aids in better tracking of treatment outcomes and resource allocation in orthopedic care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding fractures, which aids in better tracking of treatment outcomes and resource allocation in orthopedic care.

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 significance of specifying 'displaced' in the fracture code?

Specifying 'displaced' indicates that the fracture fragments are not aligned, which has implications for treatment and recovery. It often requires surgical intervention to realign the bones, making it a more complex case than a non-displaced fracture.