ICD-10 Coding for Right Femoral Fracture(S72.001A, S72.021D)
Complete ICD-10-CM coding and documentation guide for Right Femoral Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Femoral Fracture
S72.0-S72.9Primary Range
Fracture of femur
This range includes all types of femoral fractures, including those of the neck, shaft, and distal end.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S72.001A | Fracture of unspecified part of neck of right femur, initial encounter for closed fracture | Use for initial encounters of closed fractures of the right femoral neck. |
|
| S72.021D | Displaced fracture of neck of right femur, subsequent encounter for fracture with routine healing | Use for subsequent encounters of displaced fractures of the right femoral neck with routine healing. |
|
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 femoral fracture
Essential facts and insights about Right Femoral Fracture
Primary ICD-10-CM Codes for right femoral fracture
Decision Criteria
clinical Criteria
- Fracture confirmed by imaging
documentation Criteria
- Laterality and encounter type documented
Applicable To
- Closed fracture of right femoral neck
Excludes
- Pathological fracture (M84.4-)
Clinical Validation Requirements
- X-ray or CT confirmation of fracture
- Documentation of laterality and encounter type
Code-Specific Risks
- Incorrect use of initial encounter code for follow-up visits
Coding Notes
- Ensure documentation specifies laterality and encounter type.
S72.021D - Displaced fracture of neck of right femur, subsequent encounter for fracture with routine healing
Use for subsequent encounters of displaced fractures of the right femoral neck with routine healing.
Applicable To
- Displaced fracture of right femoral neck
Excludes
- Pathological fracture (M84.4-)
Clinical Validation Requirements
- Follow-up imaging showing healing
- Documentation of healing status
Coding Notes
Ensure documentation reflects the 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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Femoral Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.001A.
Impact
Clinical: Ambiguity in patient records, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always document laterality, Use templates that prompt for laterality
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Ensure the correct seventh character is used for subsequent encounters.
Impact
Incorrect use of seventh characters for encounter types.
Mitigation Strategy
Regular training on seventh character definitions.
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 Right Femoral Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Femoral Fracture
Use these documentation templates to ensure complete and accurate documentation for Right Femoral Fracture. These templates include all required elements for proper coding and billing.
Orthopedic Progress Note
Specialty: OrthopedicsRequired Elements
- Subjective patient report
- Objective findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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