ICD-10 Coding for Femoral Neck Fracture(S72.001D)
Complete ICD-10-CM coding and documentation guide for Femoral Neck Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Femoral Neck Fracture
S72.00-S72.04Primary Range
Fracture of neck of femur
This range includes all codes for fractures of the neck of femur, specifying laterality, displacement, and encounter type.
Pathological fracture in osteoporosis
This range is used for fractures due to osteoporosis, specifying laterality and encounter type.
Key Information: ICD-10 code for left femoral neck fracture
Essential facts and insights about Femoral Neck Fracture
Primary ICD-10-CM Code for femoral neck fracture
Decision Criteria
clinical Criteria
- Fracture confirmed by imaging
documentation Criteria
- Routine healing documented
Applicable To
- Closed fracture of right femoral neck
Excludes
- Pathological fracture (M80.05-)
Clinical Validation Requirements
- X-ray confirmation of fracture
- Documentation of routine healing
Code-Specific Risks
- Incorrect laterality documentation
- Missing encounter type
Coding Notes
- Ensure laterality and encounter type are clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Open treatment of femoral neck fracture with internal fixation
CPT 27236Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Pathological fracture in osteoporosis, right femur, subsequent encounter
M80.051DDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Femoral Neck Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.001D.
Impact
Clinical: Inaccurate patient records, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Use templates that prompt for encounter type, Regular training on coding updates
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data for clinical and research purposes.
Mitigation Strategy
Always confirm and document the side of the fracture.
Impact
Using unspecified codes when specific information is available.
Mitigation Strategy
Implement regular audits and coding reviews.
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 Femoral Neck Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Femoral Neck Fracture
Use these documentation templates to ensure complete and accurate documentation for Femoral Neck Fracture. These templates include all required elements for proper coding and billing.
Post-operative follow-up for femoral neck fracture
Specialty: OrthopedicsRequired Elements
- Healing status
- Pain management
- Mobility assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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