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ICD-10 Coding for Left Femoral Neck Fracture(S72.002D)

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

Also known as:

Left Hip FractureLeft Neck of Femur Fracture

Related ICD-10 Code Ranges

Complete code families applicable to Left Femoral Neck Fracture

S72.0Primary Range

Fracture of femur

This range includes all fractures of the femur, specifically the neck of the femur, which is relevant for coding left femoral neck fractures.

Key Information: ICD-10 code for left femoral neck fracture

Essential facts and insights about Left Femoral Neck Fracture

The ICD-10 code for a left femoral neck fracture, subsequent encounter for closed fracture with routine healing, is S72.002D.

Primary ICD-10-CM Code for left femoral neck fx

Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing
Billable Code

Decision Criteria

clinical Criteria

  • Radiographic evidence of healing and documentation of subsequent encounter

Applicable To

  • Closed fracture of neck of left femur

Excludes

Clinical Validation Requirements

  • Radiographic evidence of healing
  • Documentation of subsequent encounter
  • Confirmation of closed fracture

Code-Specific Risks

  • Incorrectly using for initial encounters
  • Not specifying laterality

Coding Notes

  • Ensure documentation specifies the encounter type and healing status.

Ancillary Codes

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

Fall from slipping, tripping and stumbling without subsequent striking against object, initial encounter

W18.09XA
Use to describe the external cause of the fracture.

Differential Codes

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

Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with routine healing

S72.001D
Differentiate based on laterality; ensure documentation specifies 'left'.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Left Femoral Neck Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.002D.

Impact

Clinical: Ambiguity in treatment records., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential claim denials.

Mitigation Strategy

Always document the side of the body affected.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.

Mitigation Strategy

Ensure the correct 7th character is used to indicate the encounter type.

Impact

Using initial encounter code for follow-up visits.

Mitigation Strategy

Regular training on encounter 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 Left Femoral Neck Fracture, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Left Femoral Neck Fracture

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

Follow-up visit for healing left femoral neck fracture

Specialty: Orthopedics

Required Elements

  • Patient's current weight-bearing status
  • Radiographic evidence of healing
  • Pain level and mobility assessment

Example Documentation

Patient presents for follow-up of left femoral neck fracture. X-ray shows bridging callus formation. Patient reports 2/10 pain with ambulation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient follow-up for hip fracture.
Good Documentation Example
Follow-up visit for left femoral neck fracture (S72.002D) with radiographic evidence of healing.
Explanation
The good example specifies the fracture location, laterality, and healing status, which are critical for accurate coding.

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

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