ICD-10 Coding for Left Hip Fracture(S72.002A, S72.142A)
Complete ICD-10-CM coding and documentation guide for Left Hip Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Hip Fracture
S72.0-S72.9Primary Range
Fractures of femur
This range includes all types of femur fractures, including those affecting the left hip.
Osteoporosis with pathological fracture and other pathological fractures
This range is relevant for pathological fractures due to conditions like osteoporosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S72.002A | Unspecified fracture of neck of left femur, initial encounter for closed fracture | Use when the fracture type is not specified beyond being a closed fracture. |
|
| S72.142A | Displaced intertrochanteric fracture of left femur, initial encounter for closed fracture | Use when the fracture is specifically documented as displaced intertrochanteric. |
|
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 left hip fracture
Essential facts and insights about Left Hip Fracture
Primary ICD-10-CM Codes for left hip fracture
Decision Criteria
documentation Criteria
- Documentation must specify closed fracture of neck of left femur.
Applicable To
- Closed fracture of neck of left femur
Excludes
- Pathological fracture (M80.-)
Clinical Validation Requirements
- Radiographic evidence of fracture
- Clinical documentation specifying closed fracture
Code-Specific Risks
- Risk of using unspecified code when more specific information is available.
Coding Notes
- Ensure documentation specifies closed fracture to avoid unspecified coding.
S72.142A - Displaced intertrochanteric fracture of left femur, initial encounter for closed fracture
Use when the fracture is specifically documented as displaced intertrochanteric.
Applicable To
- Displaced fracture between greater and lesser trochanter
Excludes
- Pathological fracture (M80.-)
Clinical Validation Requirements
- Radiographic evidence of intertrochanteric fracture
- Clinical documentation specifying displaced fracture
Coding Notes
Ensure documentation includes displacement and intertrochanteric location.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of (healed) traumatic fracture
Z87.310Differential 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 Left Hip Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.002A.
Impact
Clinical: May lead to inappropriate treatment planning., Regulatory: Increases risk of audit due to incomplete documentation., Financial: Potential for denied claims due to unspecified coding.
Mitigation Strategy
Ensure radiographic findings are included in documentation., Train staff on importance of detailed fracture documentation.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit due to unspecified coding., Data Quality: Decreases data quality and accuracy in medical records.
Mitigation Strategy
Document specific fracture type and location to use the most accurate code.
Impact
High risk of audit for using unspecified codes when specific details are available.
Mitigation Strategy
Ensure documentation includes specific fracture type and location.
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 Left Hip Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Hip Fracture
Use these documentation templates to ensure complete and accurate documentation for Left Hip Fracture. These templates include all required elements for proper coding and billing.
Post-Operative Orthopedic Note
Specialty: OrthopedicsRequired Elements
- Procedure details
- Incision status
- Weight-bearing instructions
- Follow-up imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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