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

ICD-10 Coding for Periprosthetic Femur Fracture

S72.401A
M97.01XA

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

Also Known as:
Periprosthetic Hip Fracture
Periprosthetic Knee Fracture
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Key Information: ICD-10 Coding for Periprosthetic Femur Fracture

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

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

Primary ICD-10-CM Codes

Unspecified fracture of right femur, initial encounter for closed fracture

Billable Code
S72.401A
Billable

Diagnostic Criteria

clinical:
  • • Confirmed traumatic fracture via imaging
documentation:
  • • Detailed mechanism of injury documented

Applicable To

  • • Traumatic fracture of femur

Important Notes

  • • Ensure documentation specifies the traumatic nature and laterality.

Periprosthetic fracture around internal prosthetic right hip joint, initial encounter

Billable Code
M97.01XA
Billable

Diagnostic Criteria

Applicable To

  • • Fracture around prosthetic joint

Important Notes

  • • Ensure prosthesis details and fracture mechanism are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

W18.XXXA

Fall on same level from slipping, tripping and stumbling

Use to specify the external cause of the traumatic fracture.

Frequently Asked Questions

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

The ICD-10 code for a right periprosthetic femur fracture is S72.401A for the fracture, with M97.01XA to specify periprosthetic involvement.

How do you code a periprosthetic femur fracture?

Code the fracture using S72.401A for traumatic cases, and add M97.01XA to specify periprosthetic involvement. Ensure laterality and encounter type are documented.

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