ICD-10 Coding for Fracture of Left Femur(S72.142D, M80.052A)
Complete ICD-10-CM coding and documentation guide for Fracture of Left Femur. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fracture of Left Femur
S72.0-S72.9Primary Range
Fractures of femur
This range includes all types of femur fractures, including those affecting the left side.
Osteoporosis with current pathological fracture
Relevant for fractures due to osteoporosis, which may affect the femur.
Periprosthetic fracture around internal prosthetic joint
Used for fractures occurring around a prosthetic joint, applicable to femur.
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 when the fracture is intertrochanteric, on the left side, and healing routinely. |
|
| M80.052A | Age-related osteoporosis with current pathological fracture, left femur | Use when fracture is due to osteoporosis, confirmed by imaging. |
|
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 left femur fracture
Essential facts and insights about Fracture of Left Femur
Primary ICD-10-CM Codes for fracture left femur
Decision Criteria
clinical Criteria
- Intertrochanteric fracture confirmed by imaging
documentation Criteria
- Routine healing documented
Applicable To
- Intertrochanteric fracture of left femur
Excludes
- Pathological fracture (M84.45-)
Clinical Validation Requirements
- X-ray showing intertrochanteric fracture
- Documentation of routine healing
Code-Specific Risks
- Incorrect use if healing status is not routine
Coding Notes
- Ensure documentation specifies intertrochanteric location and healing status.
M80.052A - Age-related osteoporosis with current pathological fracture, left femur
Use when fracture is due to osteoporosis, confirmed by imaging.
Applicable To
- Pathological fracture due to osteoporosis
Excludes
- Traumatic fracture (S72.0-S72.9)
Clinical Validation Requirements
- DXA scan showing T-score ≤-2.5
- Documentation of fragility fracture mechanism
Coding Notes
Ensure osteoporosis is confirmed by imaging.
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.
Age-related osteoporosis with current pathological fracture, left femur
M80.052ADisplaced 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 Fracture of Left Femur to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.142D.
Impact
Clinical: May lead to incorrect treatment side., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document 'left' or 'right' for fractures., Use templates that prompt for laterality.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of medical records.
Mitigation Strategy
Always document and code the specific fracture type and location.
Impact
Risk of audits due to use of unspecified codes.
Mitigation Strategy
Use specific codes and ensure complete documentation.
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 Fracture of Left Femur, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Left Femur
Use these documentation templates to ensure complete and accurate documentation for Fracture of Left Femur. These templates include all required elements for proper coding and billing.
Orthopedic assessment of left femur fracture
Specialty: OrthopedicsRequired Elements
- Fracture type and location
- Mechanism of injury
- Imaging results
- Healing status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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