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ICD-10 Coding for Intertrochanteric Femur Fracture(S72.141A)

Complete ICD-10-CM coding and documentation guide for Intertrochanteric Femur Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Intertrochanteric Hip FractureIT Fracture

Related ICD-10 Code Ranges

Complete code families applicable to Intertrochanteric Femur Fracture

S72.14-Primary Range

Intertrochanteric fracture of femur

This range covers all intertrochanteric fractures of the femur, specifying laterality and encounter type.

Osteoporosis with pathological fracture

Used when the fracture is due to osteoporosis, indicating a pathological fracture.

Key Information: ICD-10 code for right intertrochanteric femur fracture

Essential facts and insights about Intertrochanteric Femur Fracture

The ICD-10 code for a displaced intertrochanteric fracture of the right femur, initial encounter for closed fracture, is S72.141A.

Primary ICD-10-CM Code for intertrochanteric femur fracture

Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture
Billable Code

Decision Criteria

clinical Criteria

  • X-ray shows fracture between greater and lesser trochanter.

documentation Criteria

  • Documentation specifies 'displaced' and 'right femur'.

Applicable To

  • Displaced fracture
  • Right femur

Excludes

  • Femoral neck fracture (S72.0-)
  • Subtrochanteric fracture (S72.2-)

Clinical Validation Requirements

  • X-ray confirmation of fracture
  • Clinical documentation of displacement and laterality

Code-Specific Risks

  • Incorrect laterality documentation
  • Missing encounter type

Coding Notes

  • Ensure documentation specifies laterality and encounter type.

Ancillary Codes

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

Osteoporosis with current pathological fracture, right femur

M80.051A
Use when the fracture is due to osteoporosis.

Differential Codes

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

Femoral neck fracture

S72.0-
Location of fracture is in the neck of the femur, not between the trochanters.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Intertrochanteric Femur Fracture 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 planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or delays.

Mitigation Strategy

Always document the side of the body affected., Use templates that prompt for laterality.

Impact

Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use the fracture code with the appropriate 7th character for subsequent encounters.

Impact

Failure to document the encounter type can lead to incorrect coding.

Mitigation Strategy

Implement mandatory fields in EHR for encounter type.

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 Intertrochanteric Femur Fracture, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Intertrochanteric Femur Fracture

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

Initial Encounter for Displaced Intertrochanteric Fracture

Specialty: Orthopedics

Required Elements

  • Fracture type
  • Laterality
  • Encounter type
  • Imaging confirmation

Examples: Poor vs. Good Documentation

Poor Documentation Example
Hip fracture
Good Documentation Example
Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture.
Explanation
The good example specifies the type, location, and encounter details necessary for accurate coding.

Need help with ICD-10 coding for Intertrochanteric Femur Fracture? Ask your questions below.

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