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Home/Diagnosis/ICD-10 Coding for Fracture of Hip

ICD-10 Coding for Fracture of Hip

S72.001A
M80.051A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for fracture of 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 Fracture of Hip

Essential facts and insights about ICD-10 Coding for Fracture of Hip

Use ICD-10 code S72.001A for fracture of unspecified part of neck of femur, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of unspecified part of neck of femur, initial encounter for closed fracture

Billable Code
S72.001A
Billable

Diagnostic Criteria

clinical:
  • • Presence of trauma and fracture on imaging
documentation:
  • • Specify laterality and encounter type

Applicable To

  • • Closed fracture of femoral neck

Important Notes

  • • Ensure trauma is documented to differentiate from pathological fractures.

Age-related osteoporosis with current pathological fracture, right femur, initial encounter

Billable Code
M80.051A
Billable

Diagnostic Criteria

clinical:
  • • DEXA scan showing osteoporosis
  • • Absence of trauma

Applicable To

  • • Pathological fracture due to osteoporosis

Important Notes

  • • Ensure osteoporosis is documented as the cause.
Ancillary Codes

Additional codes that may be used with this diagnosis

M97.01XA

Periprosthetic fracture around internal prosthetic joint, initial encounter

Use alongside S72 codes for fractures around prosthetic joints.

Frequently Asked Questions

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

The ICD-10 code for a traumatic hip fracture is S72.001A, while M80.051A is used for pathological fractures due to osteoporosis.

How do you code a periprosthetic hip fracture?

For periprosthetic hip fractures, use both S72.0xxA for the fracture and M97.01XA for the periprosthetic condition.

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