ICD-10 Coding for Fracture of Right Hip(S72.0XXA, S72.019A)
Complete ICD-10-CM coding and documentation guide for Fracture of Right Hip. 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 Hip
S72.0-S72.9Primary Range
Fractures of femur
This range includes all types of femoral fractures, including those specific to the right hip.
Periprosthetic fractures
Used for fractures occurring around prosthetic joints, including the hip.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S72.0XXA | Fracture of femoral neck, initial encounter | Use for initial encounter of femoral neck fractures confirmed by imaging. |
|
| S72.019A | Displaced intracapsular fracture of right femur, initial encounter | Use for initial encounters of displaced intracapsular 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 hip fracture
Essential facts and insights about Fracture of Right Hip
Primary ICD-10-CM Codes for fracture of right hip
Decision Criteria
clinical Criteria
- Confirmed fracture by imaging
documentation Criteria
- Detailed description of fracture type and encounter
Applicable To
- Displaced femoral neck fracture
- Nondisplaced femoral neck fracture
Excludes
- Pathological fracture (M84.451A)
Clinical Validation Requirements
- X-ray or CT confirming fracture
- Clinical documentation of trauma
Code-Specific Risks
- Incorrect laterality
- Missing encounter type
Coding Notes
- Ensure documentation specifies laterality and encounter type.
S72.019A - Displaced intracapsular fracture of right femur, initial encounter
Use for initial encounters of displaced intracapsular fractures.
Applicable To
- Intracapsular fracture
- Displaced fracture
Excludes
- Extracapsular fracture (S72.023A)
Clinical Validation Requirements
- MRI or CT confirming intracapsular location
- Clinical documentation of displacement
Coding Notes
Specify displacement and intracapsular location.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Periprosthetic fracture around 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 Fracture of Right Hip to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.0XXA.
Impact
Clinical: Inaccurate treatment tracking, Regulatory: Non-compliance with coding standards, Financial: Potential for claim denials
Mitigation Strategy
Standardize documentation templates, Educate staff on coding requirements
Impact
Reimbursement: May lead to reduced reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in clinical data.
Mitigation Strategy
Query for specific fracture type and location.
Impact
High risk of audit for using unspecified codes without justification.
Mitigation Strategy
Ensure detailed documentation and query for 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 Right Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Right Hip
Use these documentation templates to ensure complete and accurate documentation for Fracture of Right Hip. These templates include all required elements for proper coding and billing.
Initial encounter for right hip fracture
Specialty: OrthopedicsRequired Elements
- Fracture type
- Laterality
- Encounter type
- Mechanism of injury
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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