ICD-10 Coding for Intertrochanteric Hip Fracture(S72.141A, S72.141K)
Complete ICD-10-CM coding and documentation guide for Intertrochanteric Hip Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Intertrochanteric Hip Fracture
S72.1Primary Range
Fracture of femur, intertrochanteric
This range includes codes for intertrochanteric fractures of the femur, specifying laterality and encounter type.
Osteoporosis with current pathological fracture
Used when the fracture is due to osteoporosis, indicating a pathological fracture.
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 | Use for initial encounter of a displaced intertrochanteric fracture of the right femur. |
|
| S72.141K | Displaced intertrochanteric fracture of right femur, subsequent encounter for nonunion | Use for subsequent encounters where nonunion is documented. |
|
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 right intertrochanteric hip fracture
Essential facts and insights about Intertrochanteric Hip Fracture
Primary ICD-10-CM Codes for intertrochanteric hip fracture
Decision Criteria
clinical Criteria
- Presence of a displaced fracture confirmed by imaging
documentation Criteria
- Documentation of laterality and encounter type
Applicable To
- Displaced intertrochanteric fracture, right femur
Excludes
- Pathological fracture due to osteoporosis (M80.0A)
Clinical Validation Requirements
- X-ray or CT confirming fracture line between greater and lesser trochanters
- Clinical presentation of acute pain and inability to bear weight
Code-Specific Risks
- Ensure laterality and encounter type are documented.
Coding Notes
- Ensure documentation includes laterality, encounter type, and fracture displacement status.
S72.141K - Displaced intertrochanteric fracture of right femur, subsequent encounter for nonunion
Use for subsequent encounters where nonunion is documented.
Applicable To
- Nonunion of displaced intertrochanteric fracture, right femur
Excludes
- Pathological fracture due to osteoporosis (M80.0A)
Clinical Validation Requirements
- CT evidence of nonunion with no bridging callus at 15+ weeks post-op
Coding Notes
Nonunion must be confirmed by imaging and documented in the medical record.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Osteoporosis with current pathological fracture
M80.0ADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Displaced intertrochanteric fracture of left femur, initial encounter
S72.142ADisplaced intertrochanteric fracture of right femur, subsequent encounter for routine healing
S72.141DDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Intertrochanteric Hip 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: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Educate providers on the importance of specifying fracture type.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data collection and reporting.
Mitigation Strategy
Always document the side of the fracture (right or left).
Impact
Using the wrong 7th character for encounter type can lead to audits.
Mitigation Strategy
Verify encounter type before coding.
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 Hip Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Intertrochanteric Hip Fracture
Use these documentation templates to ensure complete and accurate documentation for Intertrochanteric Hip Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for intertrochanteric fracture
Specialty: OrthopedicsRequired Elements
- Patient demographics
- Mechanism of injury
- Imaging results
- Fracture classification
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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