ICD-10 Coding for Right Femur Fracture(S72.001A, S72.141A)
Complete ICD-10-CM coding and documentation guide for Right Femur Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Femur Fracture
S72.0XXPrimary Range
Fractures of head and neck of femur
This range includes fractures of the head and neck of the femur, which are common in right femur fractures.
Intertrochanteric fractures
This range includes intertrochanteric fractures, which are a specific type of femur fracture.
Subtrochanteric fractures
This range includes subtrochanteric fractures, another specific type of femur 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 |
|---|---|---|---|
| S72.001A | Unspecified fracture of right femur, initial encounter for closed fracture | Use for initial encounters where the fracture is closed and unspecified. |
|
| S72.141A | Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture | Use for initial encounters with displaced intertrochanteric fractures. |
|
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 femur fracture
Essential facts and insights about Right Femur Fracture
Primary ICD-10-CM Codes for right femur fracture
Decision Criteria
clinical Criteria
- Presence of a closed fracture confirmed by imaging
Applicable To
- Closed fracture of right femoral neck
Excludes
- Open fracture of right femur
Clinical Validation Requirements
- X-ray confirmation of fracture
- Documentation of closed fracture
Code-Specific Risks
- Risk of using for open fractures
Coding Notes
- Ensure laterality and fracture type are documented.
S72.141A - Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture
Use for initial encounters with displaced intertrochanteric fractures.
Applicable To
- Displaced fracture of right intertrochanteric region
Excludes
- Non-displaced intertrochanteric fracture
Clinical Validation Requirements
- X-ray showing displaced fracture
- Documentation of intertrochanteric location
Coding Notes
Ensure displacement and location are clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Periprosthetic fracture around right hip prosthesis
M97.01XADifferential 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 Femur 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: Impacts treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document fracture type (e.g., open vs. closed).
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of medical records.
Mitigation Strategy
Always use the most specific code available based on documentation.
Impact
Using unspecified codes when specific details are available.
Mitigation Strategy
Train staff to use the most specific codes.
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 Femur Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Femur Fracture
Use these documentation templates to ensure complete and accurate documentation for Right Femur Fracture. These templates include all required elements for proper coding and billing.
Initial Encounter for Right Femur Fracture
Specialty: OrthopedicsRequired Elements
- Fracture location
- Fracture type
- Encounter type
- Laterality
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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