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Home/Diagnosis/ICD-10 Coding for Fractured Hip

ICD-10 Coding for Fractured Hip

S72.001A
M80.051A

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

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

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

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

Primary ICD-10-CM Codes

Fracture of unspecified part of neck of right femur, initial encounter

Billable Code
S72.001A
Billable

Diagnostic Criteria

clinical:
  • • Confirmed traumatic fracture without underlying pathology
documentation:
  • • Includes laterality and fracture type

Applicable To

  • • Traumatic fracture of femoral neck

Important Notes

  • • Ensure documentation specifies laterality and fracture type.

Osteoporosis with current pathological fracture, right femur

Billable Code
M80.051A
Billable

Diagnostic Criteria

clinical:
  • • DXA scan with T-score ≤-2.5
  • • Documentation of osteoporosis

Applicable To

  • • Pathological fracture due to osteoporosis

Important Notes

  • • Link osteoporosis to the fracture with clinical evidence.
Ancillary Codes

Additional codes that may be used with this diagnosis

M97.01XA

Periprosthetic fracture around right hip prosthesis

Use when fracture occurs near a hip prosthesis, following the primary fracture code.

Frequently Asked Questions

How do you code a fractured hip in ICD-10?

To code a fractured hip in ICD-10, use codes from the S72.0-S72.9 range for traumatic fractures, and M80.0-M80.9 for pathological fractures due to osteoporosis.

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

The ICD-10 code for a hip fracture due to osteoporosis is M80.051A, indicating a pathological fracture of the right femur.

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