ICD-10 Coding for Closed Fracture of Left Hip(S72.002A, M80.052A)
Complete ICD-10-CM coding and documentation guide for Closed Fracture of Left Hip. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Closed Fracture of Left Hip
S72.0-S72.9Primary Range
Fracture of femur
This range includes all types of femoral fractures, including those specific to the neck, intertrochanteric, and subtrochanteric regions.
Osteoporosis with pathological fracture
This range is relevant for fractures associated with osteoporosis, which may present as pathological fractures.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S72.002A | Unspecified fracture of neck of left femur, initial encounter for closed fracture | Use for initial encounter of a closed fracture of the left femoral neck when specific fracture type is unspecified. |
|
| M80.052A | Age-related osteoporosis with pathological fracture, left hip, initial encounter | Use when the fracture is due to osteoporosis and not from a significant trauma. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for closed fracture of left hip
Essential facts and insights about Closed Fracture of Left Hip
Primary ICD-10-CM Codes for closed fracture of left hip
Decision Criteria
clinical Criteria
- Presence of a closed fracture confirmed by imaging
documentation Criteria
- Specific mention of 'closed' and 'left femoral neck'
Applicable To
- Closed fracture of left femoral neck
Excludes
- Open fracture of left femoral neck
Clinical Validation Requirements
- X-ray or MRI confirming fracture type
- Documentation of closed fracture
Code-Specific Risks
- Risk of under-documentation if fracture type is not specified
Coding Notes
- Ensure laterality and encounter type are documented.
M80.052A - Age-related osteoporosis with pathological fracture, left hip, initial encounter
Use when the fracture is due to osteoporosis and not from a significant trauma.
Applicable To
- Pathological fracture of left hip due to osteoporosis
Excludes
- Traumatic fracture of left hip
Clinical Validation Requirements
- DEXA scan showing osteoporosis
- Minimal trauma history
Coding Notes
Ensure documentation supports osteoporosis as the cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fall on same level from slipping, tripping, or stumbling
W18.09XADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Closed Fracture of Left Hip to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.002A.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Increased risk of audits., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Review documentation for specificity before coding.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with ICD-10 requirements., Data Quality: Inaccurate data collection and reporting.
Mitigation Strategy
Always document whether the fracture is on the left or right side.
Impact
Audits may focus on whether the documentation supports the specific fracture location coded.
Mitigation Strategy
Ensure detailed documentation of fracture type and location.
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 Closed Fracture of Left Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Closed Fracture of Left Hip
Use these documentation templates to ensure complete and accurate documentation for Closed Fracture of Left Hip. These templates include all required elements for proper coding and billing.
Initial encounter for closed fracture of left femoral neck
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Physical exam findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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