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Home/Diagnosis/ICD-10 Coding for Broken Hip

ICD-10 Coding for Broken Hip

S72.0XXA
M97.01XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for broken hip includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Hip Fracture
Femoral Fracture
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Key Information: ICD-10 Coding for Broken Hip

Essential facts and insights about ICD-10 Coding for Broken Hip

Use ICD-10 code S72.0XXA for fracture of femoral neck, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of femoral neck, initial encounter

Non-Billable
S72.0XXA
Non-Billable

Diagnostic Criteria

clinical:
  • • Confirmed fracture on imaging
documentation:
  • • Detailed mechanism of injury

Applicable To

  • • Displaced femoral neck fracture
  • • Non-displaced femoral neck fracture

Important Notes

  • • Ensure laterality and encounter type are specified.

Periprosthetic fracture around internal prosthetic joint, initial encounter

Billable Code
M97.01XA
Billable

Diagnostic Criteria

Applicable To

  • • Fracture around hip prosthesis

Important Notes

  • • Ensure the primary fracture code is sequenced first.
Ancillary Codes

Additional codes that may be used with this diagnosis

W00.0XXA

Fall on same level from slipping, tripping and stumbling

Use to describe the external cause of the fracture.

Frequently Asked Questions

What is the ICD-10 code for a broken hip?

The ICD-10 code for a broken hip varies based on the fracture type and location, such as S72.0XXA for femoral neck fractures.

How do you code a periprosthetic hip fracture?

Code the primary fracture first, followed by M97.01XA for the periprosthetic fracture.

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