ICD-10 Coding for Status Post ORIF(S72.142D)
Complete ICD-10-CM coding and documentation guide for Status Post ORIF. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Status Post ORIF
S72.0-S72.9Primary Range
Fractures of femur
This range includes codes for femoral fractures, which are commonly treated with ORIF.
Presence of orthopedic joint implants
Used to indicate the presence of internal fixation devices post-ORIF.
Key Information: ICD-10 code for status post ORIF
Essential facts and insights about Status Post ORIF
Primary ICD-10-CM Code for status post orif
Decision Criteria
clinical Criteria
- Patient is in the healing phase post-ORIF with no complications.
Applicable To
- Routine healing of intertrochanteric fracture post-ORIF
Excludes
- Initial encounter for fracture (S72.142A)
Clinical Validation Requirements
- X-ray showing callus formation
- Clinical note indicating routine healing
Code-Specific Risks
- Incorrectly using for initial encounter
Coding Notes
- Ensure documentation specifies healing phase and presence of hardware.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of internal fixation device in femur
Z96.62Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Initial encounter for displaced intertrochanteric fracture of left femur
S72.142ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Status Post ORIF to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S72.142D.
Impact
Clinical: Ambiguity in treatment records., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document left or right in notes, Use templates that prompt for laterality
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use the fracture code with 7th character D for aftercare.
Impact
Using Z47.89 for fracture aftercare instead of the appropriate fracture code.
Mitigation Strategy
Educate staff on correct code usage for fracture aftercare.
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 Status Post ORIF, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Status Post ORIF
Use these documentation templates to ensure complete and accurate documentation for Status Post ORIF. These templates include all required elements for proper coding and billing.
Orthopedic Follow-up Post-ORIF
Specialty: OrthopedicsRequired Elements
- Fracture type and site
- Healing status
- Presence of hardware
- Complications, if any
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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