ICD-10 Coding for Broken Femur(S72.001D)
Complete ICD-10-CM coding and documentation guide for Broken Femur. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Broken Femur
S72.0-S72.9Primary Range
Fracture of femur
This range includes all types of femoral fractures, specifying location and encounter type.
Periprosthetic fracture around internal prosthetic joint
Used in conjunction with femoral fracture codes to indicate periprosthetic involvement.
Key Information: ICD-10 code for broken femur
Essential facts and insights about Broken Femur
Primary ICD-10-CM Code for broken femur
Decision Criteria
clinical Criteria
- Routine healing confirmed by imaging
coding Criteria
- Subsequent encounter with no complications
Applicable To
- Routine healing of closed femoral fracture
Excludes
- Open fracture of femur
Clinical Validation Requirements
- Progress note indicating routine healing
- Radiographic evidence of callus formation
Code-Specific Risks
- Incorrect 7th character usage
Coding Notes
- Ensure the 7th character accurately reflects the encounter type and healing status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Periprosthetic fracture around internal prosthetic joint, initial encounter
M97.01XADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture
S72.141ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Broken Femur to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.001D.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or incorrect reimbursement.
Mitigation Strategy
Use templates to ensure all required details are documented., Regular training on documentation standards.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Verify encounter type and healing status before assigning the 7th character.
Impact
Incorrect use of 7th characters can lead to audit flags.
Mitigation Strategy
Implement regular audits and coder training.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Broken Femur, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Broken Femur
Use these documentation templates to ensure complete and accurate documentation for Broken Femur. These templates include all required elements for proper coding and billing.
Orthopedic follow-up for femoral fracture
Specialty: OrthopedicsRequired Elements
- Patient's subjective report
- Objective findings
- Assessment and plan
- Radiographic evidence
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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