ICD-10 Coding for Right Femur Pain(M79.651, S72.001A)
Complete ICD-10-CM coding and documentation guide for Right Femur Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Femur Pain
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M79.651 | Pain in right thigh | Use when the patient presents with pain in the right thigh without evidence of fracture. |
|
| S72.001A | Fracture of unspecified part of femur, initial encounter | Use when a fracture of the femur is confirmed by imaging. |
|
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 femur pain
Essential facts and insights about Right Femur Pain
Primary ICD-10-CM Codes for right femur pain
Decision Criteria
clinical Criteria
- Pain localized to the right thigh without fracture
documentation Criteria
- Imaging results confirming no fracture
Applicable To
- Generalized pain in the right thigh
Excludes
- Fracture of femur (S72.-)
Clinical Validation Requirements
- Clinical examination confirming pain localized to the right thigh
- Exclusion of fracture through imaging
Code-Specific Risks
- Risk of undercoding if a fracture is present but not documented.
Coding Notes
- Ensure documentation specifies the absence of fracture if using M79.651.
S72.001A - Fracture of unspecified part of femur, initial encounter
Use when a fracture of the femur is confirmed by imaging.
Applicable To
- Initial encounter for femur fracture
Excludes
- Pathological fracture (M84.5-)
Clinical Validation Requirements
- X-ray or MRI confirming fracture
Coding Notes
Ensure fracture is documented with imaging.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute pain due to trauma
G89.11Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Femur Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M79.651.
Impact
Clinical: Misdiagnosis of fracture., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document imaging results.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Ensure imaging is reviewed to confirm absence of fracture.
Impact
Incorrectly coding pain without confirming fracture status.
Mitigation Strategy
Ensure all suspected fractures are confirmed with imaging.
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 Right Femur Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Femur Pain
Use these documentation templates to ensure complete and accurate documentation for Right Femur Pain. These templates include all required elements for proper coding and billing.
Right femur pain without fracture
Specialty: OrthopedicsRequired Elements
- Pain location and severity
- Imaging results
- Exclusion of fracture
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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