ICD-10 Coding for Fracture of Left Femoral Neck(S72.042A, M80.052A)
Complete ICD-10-CM coding and documentation guide for Fracture of Left Femoral Neck. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fracture of Left Femoral Neck
S72.0-S72.9Primary Range
Fracture of femur
This range includes all types of femur fractures, with specific codes for the femoral neck.
Osteoporosis with current pathological fracture
Relevant for pathological fractures due to osteoporosis affecting the femoral neck.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S72.042A | Nondisplaced fracture of left femoral neck, initial encounter | Use for initial encounter of nondisplaced fracture of the left femoral neck. |
|
| M80.052A | Pathological fracture in neoplastic disease, left femur, initial encounter | Use for initial encounter of pathological fracture due to underlying disease. |
|
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 femoral neck fracture
Essential facts and insights about Fracture of Left Femoral Neck
Primary ICD-10-CM Codes for fracture left femoral neck
Decision Criteria
clinical Criteria
- Presence of nondisplaced fracture on imaging
documentation Criteria
- Clear documentation of initial encounter and nondisplacement
Applicable To
- Nondisplaced subcapital fracture of left femoral neck
Excludes
- Pathological fracture (M80.052A)
Clinical Validation Requirements
- X-ray confirming nondisplaced fracture
- Clinical documentation of trauma
Code-Specific Risks
- Incorrectly coding as displaced when documentation specifies nondisplaced.
Coding Notes
- Ensure laterality and displacement status are documented.
M80.052A - Pathological fracture in neoplastic disease, left femur, initial encounter
Use for initial encounter of pathological fracture due to underlying disease.
Applicable To
- Pathological fracture due to osteoporosis
Excludes
- Traumatic fracture (S72.042A)
Clinical Validation Requirements
- Diagnosis of osteoporosis or neoplastic disease
- Imaging showing fracture without trauma
Coding Notes
Ensure underlying condition is documented and coded.
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 Fracture of Left Femoral Neck to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.042A.
Impact
Clinical: May lead to incorrect treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Always document the side of the body affected., Use templates that prompt for laterality.
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies the exact location and displacement status of the fracture.
Impact
High risk of audit if unspecified codes are used when specific details are available.
Mitigation Strategy
Ensure thorough documentation of fracture specifics.
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 Fracture of Left Femoral Neck, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Left Femoral Neck
Use these documentation templates to ensure complete and accurate documentation for Fracture of Left Femoral Neck. These templates include all required elements for proper coding and billing.
Initial encounter for nondisplaced left femoral neck fracture
Specialty: OrthopedicsRequired Elements
- Fracture type and displacement
- Laterality
- Encounter type
- Mechanism of injury
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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