ICD-10 Coding for Intertrochanteric Fracture(S72.141A, S72.142D)
Complete ICD-10-CM coding and documentation guide for Intertrochanteric Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Intertrochanteric Fracture
S72.14-S72.15Primary Range
Fracture of femur, intertrochanteric
This range includes both displaced and nondisplaced intertrochanteric fractures, which are common types of hip fractures.
Periprosthetic fracture around internal prosthetic joint
Used as an ancillary code when a fracture occurs around a prosthetic joint.
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 displaced intertrochanteric fracture of the right femur. |
|
| S72.142D | Displaced intertrochanteric fracture of left femur, subsequent encounter for closed fracture with routine healing | Use for follow-up visits when healing is routine. |
|
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 intertrochanteric fracture
Essential facts and insights about Intertrochanteric Fracture
Primary ICD-10-CM Codes for intertrochanteric fracture
Decision Criteria
documentation Criteria
- Document laterality and displacement status.
Applicable To
- Initial encounter for closed fracture
Excludes
- Open fracture
Clinical Validation Requirements
- X-ray confirmation of fracture
- Clinical documentation of displacement
Code-Specific Risks
- Incorrect laterality documentation
- Misclassification of fracture type
Coding Notes
- Ensure laterality and fracture type are clearly documented.
S72.142D - Displaced intertrochanteric fracture of left femur, subsequent encounter for closed fracture with routine healing
Use for follow-up visits when healing is routine.
Applicable To
- Subsequent encounter for closed fracture with routine healing
Excludes
- Open fracture
Clinical Validation Requirements
- Follow-up imaging showing healing
- Clinical notes indicating routine healing
Coding Notes
Ensure documentation of healing status and encounter type.
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.
Displaced intertrochanteric fracture of left femur, initial encounter for closed fracture
S72.142ADisplaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing
S72.141DDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Intertrochanteric 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: Potential for incorrect treatment planning., Regulatory: Non-compliance with coding guidelines., Financial: Delayed or denied claims.
Mitigation Strategy
Use precise language in documentation, Cross-check with imaging
Impact
Reimbursement: Incorrect billing and potential claim denial., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate medical records.
Mitigation Strategy
Verify and document the correct side of the fracture.
Impact
Frequent errors in documenting the correct side of the fracture.
Mitigation Strategy
Implement double-check systems for laterality in 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 Intertrochanteric Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Intertrochanteric Fracture
Use these documentation templates to ensure complete and accurate documentation for Intertrochanteric Fracture. These templates include all required elements for proper coding and billing.
Orthopedic Progress Note (Subsequent Encounter)
Specialty: OrthopedicsRequired Elements
- Patient's subjective report
- Objective findings
- Assessment
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Intertrochanteric Fracture? Ask your questions below.