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Home/Diagnosis/ICD-10 Coding for Distal Femur Fracture

ICD-10 Coding for Distal Femur Fracture

S72.401A
M97.01XA

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

Also Known as:
Fracture of the lower end of femur
Femur fracture, distal
distal femur fx
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Key Information: ICD-10 Coding for Distal Femur Fracture

Essential facts and insights about ICD-10 Coding for Distal Femur Fracture

Use ICD-10 code S72.401A for unspecified fracture of lower end of right femur, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified fracture of lower end of right femur, initial encounter

Billable Code
S72.401A
Billable

Diagnostic Criteria

clinical:
  • • Presence of fracture on imaging
documentation:
  • • Documentation of right femur involvement

Applicable To

  • • Unspecified fracture of right distal femur

Important Notes

  • • Ensure laterality and encounter type are documented.

Periprosthetic fracture around internal prosthetic right hip joint, initial encounter

Billable Code
M97.01XA
Billable

Diagnostic Criteria

clinical:
  • • Evidence of fracture around prosthetic joint
documentation:
  • • Initial encounter documentation

Applicable To

  • • Periprosthetic fracture of right hip

Important Notes

  • • Ensure correct sequencing with primary fracture codes.
Ancillary Codes

Additional codes that may be used with this diagnosis

W00.0xxA

Fall from slipping on ice, initial encounter

Use to specify the cause of the fracture if applicable.

T84.01xD

Mechanical complication of internal joint prosthesis, subsequent encounter

Use if there is a mechanical complication related to the prosthesis.

Frequently Asked Questions

What is the ICD-10 code for a right distal femur fracture?

The ICD-10 code for an unspecified fracture of the lower end of the right femur is S72.401A. Ensure documentation specifies laterality and fracture type for accurate coding.

How do you code a periprosthetic fracture of the femur?

For a periprosthetic fracture, sequence the primary fracture code (e.g., S72.401A) first, followed by the periprosthetic code (e.g., M97.01XA).

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