ICD-10 Coding for Closed Left Hip Fracture(S72.142D, M80.052D)
Complete ICD-10-CM coding and documentation guide for Closed Left Hip Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Closed Left Hip Fracture
S72.0-S72.9Primary Range
Fracture of femur
This range includes all types of femoral fractures, including intertrochanteric and subtrochanteric fractures relevant to closed left hip fractures.
Osteoporosis with current pathological fracture
This range is relevant for coding pathological fractures due to osteoporosis, which may affect the hip.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S72.142D | Displaced intertrochanteric fracture of left femur, subsequent encounter for closed fracture with routine healing | Use for subsequent encounters when the fracture is healing routinely. |
|
| M80.052D | Pathological fracture in osteoporosis, left hip, subsequent encounter with routine healing | Use for subsequent encounters of pathological fractures due to osteoporosis. |
|
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 left hip fracture
Essential facts and insights about Closed Left Hip Fracture
Primary ICD-10-CM Codes for closed left hip fracture
Decision Criteria
clinical Criteria
- Fracture confirmed by imaging as intertrochanteric and displaced.
documentation Criteria
- Healing status documented as routine.
Applicable To
- Displaced intertrochanteric fracture
- Routine healing
Excludes
- Open fractures
- Pathological fractures
Clinical Validation Requirements
- X-ray or CT confirming intertrochanteric fracture
- Documentation of displacement and healing status
Code-Specific Risks
- Incorrectly documenting the encounter type
- Missing displacement details
Coding Notes
- Ensure documentation specifies fracture type, displacement, and healing status.
M80.052D - Pathological fracture in osteoporosis, left hip, subsequent encounter with routine healing
Use for subsequent encounters of pathological fractures due to osteoporosis.
Applicable To
- Osteoporotic fracture
- Routine healing
Excludes
- Traumatic fractures
Clinical Validation Requirements
- DXA scan confirming osteoporosis
- No history of trauma
Coding Notes
Ensure osteoporosis is documented as the underlying cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Unspecified intracapsular fracture of left femur, initial encounter for closed fracture
S72.022ADisplaced intertrochanteric fracture of left femur, subsequent encounter for closed fracture with routine healing
S72.142DDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Closed Left Hip Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.142D.
Impact
Clinical: Incomplete clinical picture of the injury., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always include an external cause code for traumatic fractures., Review coding guidelines for external cause code requirements.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Decreases the accuracy of health records.
Mitigation Strategy
Query the provider for specific fracture details such as location and displacement.
Impact
High risk of audit when unspecified codes are used despite available specific details.
Mitigation Strategy
Encourage detailed documentation and provider queries for specifics.
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 Left Hip Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Closed Left Hip Fracture
Use these documentation templates to ensure complete and accurate documentation for Closed Left Hip Fracture. These templates include all required elements for proper coding and billing.
Subsequent encounter for closed left hip fracture
Specialty: OrthopedicsRequired Elements
- Fracture type and location
- Healing status
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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