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ICD-10 Coding for Displaced Femoral Neck Fracture(S72.031, S72.032)

Complete ICD-10-CM coding and documentation guide for Displaced Femoral Neck Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Displaced Hip FractureFemoral Neck Fracture with Displacement

Related ICD-10 Code Ranges

Complete code families applicable to Displaced Femoral Neck Fracture

S72.031-S72.032Primary Range

Displaced femoral neck fracture codes

These codes specifically address displaced fractures of the femoral neck, with laterality distinctions.

Osteoporosis with pathological fracture

Used when the fracture is due to osteoporosis, shifting the primary focus to the underlying condition.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S72.031Displaced fracture of neck of right femurUse for initial encounter of a displaced fracture of the right femoral neck.
  • X-ray or MRI confirmation of fracture line through femoral neck with displacement >2mm
S72.032Displaced fracture of neck of left femurUse for initial encounter of a displaced fracture of the left femoral neck.
  • X-ray or MRI confirmation of fracture line through femoral neck with displacement >2mm

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 displaced femoral neck fracture

Essential facts and insights about Displaced Femoral Neck Fracture

The ICD-10 codes for displaced femoral neck fractures are S72.031 for the right side and S72.032 for the left side.

Primary ICD-10-CM Codes for displaced femoral neck fracture

Displaced fracture of neck of right femur
Non-billable Code

Decision Criteria

clinical Criteria

  • Confirmed displacement on imaging

documentation Criteria

  • Laterality and displacement documented

Applicable To

  • Displaced subcapital fracture of right femur

Excludes

  • Non-displaced fracture of neck of right femur

Clinical Validation Requirements

  • X-ray or MRI confirmation of fracture line through femoral neck with displacement >2mm

Code-Specific Risks

  • Ensure laterality is documented to avoid unspecified coding.

Coding Notes

  • Ensure documentation specifies 'displaced' and 'right' to avoid defaulting to unspecified codes.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Unspecified fall

W19
Use to specify the external cause of the fracture.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Fracture of unspecified part of neck of femur

S72.001
Use S72.031 when laterality and displacement are confirmed.

Fracture of unspecified part of neck of femur

S72.002
Use S72.032 when laterality and displacement are confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Displaced Femoral Neck Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.031.

Impact

Clinical: Inaccurate treatment planning due to lack of detail., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to unspecified coding.

Mitigation Strategy

Ensure imaging reports are reviewed and documented., Train staff on the importance of detailed fracture documentation.

Impact

Reimbursement: Potential for reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Decreased data quality and accuracy in medical records.

Mitigation Strategy

Always use S72.031 or S72.032 when laterality is known.

Impact

High risk of audit if laterality is documented but unspecified codes are used.

Mitigation Strategy

Implement checks to ensure laterality is coded when documented.

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 Displaced Femoral Neck Fracture, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Displaced Femoral Neck Fracture

Use these documentation templates to ensure complete and accurate documentation for Displaced Femoral Neck Fracture. These templates include all required elements for proper coding and billing.

Initial encounter for displaced femoral neck fracture

Specialty: Orthopedics

Required Elements

  • Patient demographics
  • Mechanism of injury
  • Imaging findings
  • Fracture type and displacement
  • Treatment plan

Example Documentation

Patient presents with a displaced subcapital fracture of the right femoral neck following a fall. Imaging confirms >2mm displacement. Plan for open reduction internal fixation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Hip fracture
Good Documentation Example
Displaced subcapital fracture right femoral neck (S72.031), Gustilo IIIB, initial encounter
Explanation
The good example specifies the fracture type, laterality, and encounter type, which are essential for accurate coding.

Need help with ICD-10 coding for Displaced Femoral Neck Fracture? Ask your questions below.

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