ICD-10 Coding for Fractured Left Hip(S72.141A, M80.052A)
Complete ICD-10-CM coding and documentation guide for Fractured Left Hip. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fractured Left Hip
S72.0-S72.9Primary Range
Fractures of femur
This range includes all types of femoral fractures, including those affecting the hip.
Osteoporosis with current pathological fracture
Used when the fracture is due to osteoporosis.
Periprosthetic fracture around internal prosthetic joint
Applicable for fractures involving prosthetic joints.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S72.141A | Displaced intertrochanteric fracture of left femur, initial encounter | For initial encounter of a traumatic displaced intertrochanteric fracture of the left femur. |
|
| M80.052A | Osteoporosis with current pathological fracture, left femur | When the fracture is 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 fractured left hip
Essential facts and insights about Fractured Left Hip
Primary ICD-10-CM Codes for fractured left hip
Decision Criteria
clinical Criteria
- Confirmed intertrochanteric fracture via imaging
documentation Criteria
- Detailed encounter type and fracture specifics
Applicable To
- Displaced fracture of left intertrochanteric region
Excludes
- Pathological fracture (M80.052A)
Clinical Validation Requirements
- X-ray confirming intertrochanteric fracture
- Clinical notes indicating trauma
Code-Specific Risks
- Incorrect laterality
- Wrong encounter type
Coding Notes
- Ensure documentation specifies fracture type and encounter.
M80.052A - Osteoporosis with current pathological fracture, left femur
When the fracture is due to osteoporosis.
Applicable To
- Pathological fracture due to osteoporosis
Excludes
- Traumatic fracture (S72.141A)
Clinical Validation Requirements
- Bone density scan showing osteoporosis
- Clinical history of minimal trauma
Coding Notes
Document osteoporosis as the underlying cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Osteoporosis with current pathological fracture, left femur
M80.052ADifferential 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 Fractured Left Hip to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.141A.
Impact
Clinical: Ambiguity in treatment plans., Regulatory: Non-compliance with ICD-10 requirements., Financial: Potential claim denials.
Mitigation Strategy
Always specify left or right in documentation., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Verify encounter type and use appropriate 7th character.
Impact
High risk of errors in fracture type and encounter coding.
Mitigation Strategy
Regular training and audits.
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 Fractured Left Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fractured Left Hip
Use these documentation templates to ensure complete and accurate documentation for Fractured Left Hip. These templates include all required elements for proper coding and billing.
Initial encounter for traumatic fracture
Specialty: OrthopedicsRequired Elements
- Fracture type and location
- Encounter type
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Fractured Left Hip? Ask your questions below.