ICD-10 Coding for Fractured Right Hip(S72.141A, M80.051A)
Complete ICD-10-CM coding and documentation guide for Fractured Right Hip. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fractured Right Hip
S72.0-S72.2Primary Range
Fractures of femur
Covers various types of femoral fractures including neck, intertrochanteric, and subtrochanteric 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 |
|---|---|---|---|
| S72.141A | Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture | Use for initial encounter of a closed, displaced intertrochanteric fracture of the right femur. |
|
| M80.051A | Age-related osteoporosis with current pathological fracture, right femur, initial encounter | Use 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: How do you code a fractured right hip?
Essential facts and insights about Fractured Right Hip
Primary ICD-10-CM Codes for fractured right hip
Decision Criteria
clinical Criteria
- Confirmed intertrochanteric fracture via imaging
documentation Criteria
- Documentation specifies closed and displaced fracture
Applicable To
- Displaced intertrochanteric fracture
Excludes
- Pathological fracture (M80.05)
Clinical Validation Requirements
- X-ray confirming intertrochanteric fracture
- Clinical documentation of displacement
Code-Specific Risks
- Incorrectly coding as non-displaced or open fracture
Coding Notes
- Ensure documentation specifies fracture type and laterality.
M80.051A - Age-related osteoporosis with current pathological fracture, right femur, initial encounter
Use when the fracture is due to osteoporosis.
Applicable To
- Pathological fracture due to osteoporosis
Excludes
- Traumatic fracture (S72.0-S72.2)
Clinical Validation Requirements
- DEXA scan showing osteoporosis
- Imaging confirming pathological fracture
Coding Notes
Ensure osteoporosis is documented as the cause of the fracture.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fractured Right 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: Leads to inadequate treatment planning., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure detailed documentation of fracture specifics, Use specific codes whenever possible
Impact
Reimbursement: Incorrect coding can lead to improper DRG assignment and reimbursement., Compliance: May result in compliance issues with coding standards., Data Quality: Affects the accuracy of patient records and data reporting.
Mitigation Strategy
Verify the cause of the fracture through clinical documentation and imaging.
Impact
Risk of audits due to incorrect fracture coding.
Mitigation Strategy
Regular training on fracture coding and documentation requirements.
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 Right Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fractured Right Hip
Use these documentation templates to ensure complete and accurate documentation for Fractured Right Hip. These templates include all required elements for proper coding and billing.
Initial Encounter for Traumatic Fracture
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Fracture type
- Laterality
- Open/Closed status
- Neurovascular status
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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