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ICD-10 Coding for Subcapital Femoral Neck Fracture(S72.031, S72.032, S72.041)

Complete ICD-10-CM coding and documentation guide for Subcapital Femoral Neck Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Intracapsular Hip FractureFemoral Neck Fracture

Related ICD-10 Code Ranges

Complete code families applicable to Subcapital Femoral Neck Fracture

S72.0Primary Range

Fracture of femur

This range includes all types of femoral fractures, with specific codes for subcapital fractures.

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

CodeDescriptionWhen to UseKey Documentation
S72.031Displaced fracture of right femoral neckUse when there is a confirmed displaced fracture of the right femoral neck.
  • Imaging confirmation of displacement
  • Clinical documentation of right-side fracture
S72.032Displaced fracture of left femoral neckUse when there is a confirmed displaced fracture of the left femoral neck.
  • Imaging confirmation of displacement
  • Clinical documentation of left-side fracture
S72.041Nondisplaced fracture of right femoral neckUse when there is a confirmed nondisplaced fracture of the right femoral neck.
  • Imaging confirmation of nondisplacement
  • Clinical documentation of right-side fracture

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 displaced right subcapital femoral neck fracture

Essential facts and insights about Subcapital Femoral Neck Fracture

The ICD-10 code for a displaced right subcapital femoral neck fracture is S72.031. Ensure documentation specifies displacement and laterality.

Primary ICD-10-CM Codes for subcapital femoral neck fracture

Displaced fracture of right femoral neck
Non-billable Code

Decision Criteria

clinical Criteria

  • Displacement confirmed by imaging

documentation Criteria

  • Laterality specified as right

Applicable To

  • Displaced subcapital fracture of right femoral neck

Excludes

  • Pathological fracture (M80.0-)

Clinical Validation Requirements

  • Imaging confirmation of displacement
  • Clinical documentation of right-side fracture

Code-Specific Risks

  • Incorrect laterality documentation
  • Missing displacement confirmation

Coding Notes

  • Ensure documentation specifies laterality and displacement.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Osteoporosis with current pathological fracture

M80.0A
Use when fracture is due to osteoporosis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Unspecified fracture of femur

S72.001
Use only when specific fracture type and laterality are not documented.

Unspecified fracture of femur

S72.002
Use only when specific fracture type and laterality are not documented.

Unspecified fracture of femur

S72.003
Use only when specific fracture type and laterality are not documented.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Subcapital Femoral Neck Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.031.

Impact

Clinical: May lead to inappropriate treatment planning., Regulatory: Increases risk of audit and non-compliance., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Always document laterality in clinical notes., Verify imaging reports for laterality confirmation.

Impact

Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit due to non-specific coding., Data Quality: Decreases accuracy of clinical data.

Mitigation Strategy

Ensure documentation specifies laterality and displacement.

Impact

High risk of audit if unspecified codes are used when specific details are available.

Mitigation Strategy

Ensure documentation captures all necessary details for specific 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 Subcapital Femoral Neck Fracture, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Subcapital Femoral Neck Fracture

Use these documentation templates to ensure complete and accurate documentation for Subcapital Femoral Neck Fracture. These templates include all required elements for proper coding and billing.

Initial Encounter for Displaced Subcapital Fracture

Specialty: Orthopedics

Required Elements

  • Mechanism of injury
  • Clinical findings
  • Imaging results
  • Comorbidities

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient fell; hip pain noted.
Good Documentation Example
Mechanism: Fall from standing height. Exam: Right leg shortened, externally rotated. Imaging: Displaced right subcapital fracture (Garden III) with 30° Pauwel angle on AP X-ray.
Explanation
The good example provides specific details about the fracture type, laterality, and imaging confirmation, which are necessary for accurate coding.

Need help with ICD-10 coding for Subcapital Femoral Neck Fracture? Ask your questions below.

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