ICD-10 Coding for Left Hip Intertrochanteric Fracture(S72.142A, S72.142D, M97.32XD)
Complete ICD-10-CM coding and documentation guide for Left Hip Intertrochanteric 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 Intertrochanteric Fracture
S72.14-Primary Range
Fracture of intertrochanteric section of femur
This range includes codes for intertrochanteric fractures of the femur, specifying laterality and encounter type.
Periprosthetic fracture around internal prosthetic joint
Used for fractures occurring around a prosthetic joint, often secondary 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 |
|---|---|---|---|
| S72.142A | Displaced intertrochanteric fracture of left femur, initial encounter for closed fracture | Use for initial treatment of a closed displaced intertrochanteric fracture of the left femur. |
|
| S72.142D | Displaced intertrochanteric fracture of left femur, subsequent encounter for closed fracture with routine healing | Use for follow-up visits when the fracture is healing as expected. |
|
| M97.32XD | Periprosthetic fracture around internal prosthetic joint of left hip, subsequent encounter | Use for fractures around a prosthetic joint, typically in the context of 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: ICD-10 code for left hip intertrochanteric fracture
Essential facts and insights about Left Hip Intertrochanteric Fracture
Primary ICD-10-CM Codes for left hip intertrochanteric fracture
Decision Criteria
clinical Criteria
- Presence of a fracture line on imaging
documentation Criteria
- Detailed description of the fracture and encounter type
Applicable To
- Initial encounter for closed displaced fracture
Excludes
- Pathological fracture (M84.45-)
Clinical Validation Requirements
- X-ray confirming fracture line between greater/lesser trochanters
- Clinical notes detailing fall or trauma
Code-Specific Risks
- Incorrectly coding as non-displaced if imaging is not reviewed
Coding Notes
- Ensure documentation specifies laterality and encounter type.
S72.142D - Displaced intertrochanteric fracture of left femur, subsequent encounter for closed fracture with routine healing
Use for follow-up visits when the fracture is healing as expected.
Applicable To
- Subsequent encounter for routine healing
Excludes
- Nonunion or malunion (S72.142K, S72.142P)
Clinical Validation Requirements
- Follow-up imaging showing callus formation
- Clinical notes indicating routine healing
Coding Notes
Ensure documentation reflects routine healing status.
M97.32XD - Periprosthetic fracture around internal prosthetic joint of left hip, subsequent encounter
Use for fractures around a prosthetic joint, typically in the context of osteoporosis.
Applicable To
- Subsequent encounter for periprosthetic fracture
Excludes
- Traumatic fracture (S72.14-)
Clinical Validation Requirements
- CT evidence of fracture adjacent to prosthesis
- Bone density T-score ≤-2.5
Coding Notes
Ensure documentation specifies the fracture's relation to the prosthetic joint.
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 right femur, initial encounter for closed fracture
S72.141ANonunion of left intertrochanteric fracture
S72.142KDisplaced intertrochanteric fracture of left femur, initial encounter for closed fracture
S72.142ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Hip Intertrochanteric Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.142A.
Impact
Clinical: Inaccurate treatment tracking., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document whether the encounter is initial or subsequent., Use templates to ensure completeness.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased data accuracy and quality.
Mitigation Strategy
Always specify laterality and fracture type using detailed codes like S72.142A.
Impact
Inadequate documentation of fracture type can lead to audit issues.
Mitigation Strategy
Use detailed templates and checklists to ensure complete 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 Left Hip Intertrochanteric Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Hip Intertrochanteric Fracture
Use these documentation templates to ensure complete and accurate documentation for Left Hip Intertrochanteric Fracture. These templates include all required elements for proper coding and billing.
Orthopedic follow-up for left hip fracture
Specialty: OrthopedicsRequired Elements
- Fracture type and location
- Healing status
- Rehabilitation plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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