ICD-10 Coding for Fracture of Right Femur(S72.001A)
Complete ICD-10-CM coding and documentation guide for Fracture of Right Femur. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fracture of Right Femur
S72.0-S72.4Primary Range
Fractures of femur
This range includes all types of femoral fractures, including neck, intertrochanteric, subtrochanteric, and shaft fractures.
Pathological fractures in neoplastic disease
These codes are used when the fracture is due to underlying pathological conditions such as cancer.
External causes of falls
These codes are used to specify the external cause of the fracture, such as falls.
Key Information: ICD-10 code for right femur fracture
Essential facts and insights about Fracture of Right Femur
Primary ICD-10-CM Code for fracture of right femur
Decision Criteria
clinical Criteria
- Presence of fracture on imaging
documentation Criteria
- Detailed description of fracture type and location
Applicable To
- Closed fracture of neck of right femur
Excludes
- Pathological fracture (M84.45-)
Clinical Validation Requirements
- Radiographic evidence of fracture
- Clinical examination confirming fracture location
Code-Specific Risks
- Ensure specificity in documentation to avoid unspecified codes.
Coding Notes
- Ensure to document the specific part of the femur affected to avoid using unspecified codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified fall, initial encounter
W19.XXXADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Fracture of unspecified part of neck of left femur, initial encounter for closed fracture
S72.101ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fracture of Right Femur to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.001A.
Impact
Clinical: May lead to incorrect treatment of the wrong limb., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential claim denials due to unspecified laterality.
Mitigation Strategy
Always include laterality in documentation., Use templates that prompt for laterality.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Document specific fracture details such as location and type to use the most specific code.
Impact
High risk of audit for using unspecified codes without detailed documentation.
Mitigation Strategy
Implement documentation templates that require specific fracture details.
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 Right Femur, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Right Femur
Use these documentation templates to ensure complete and accurate documentation for Fracture of Right Femur. These templates include all required elements for proper coding and billing.
Initial Encounter for Right Femur Fracture
Specialty: OrthopedicsRequired Elements
- Patient demographics
- Mechanism of injury
- Fracture location and type
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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