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

ICD-10 Coding for Proximal Femur Fracture

S72.001A
M84.451A

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

Also Known as:
Hip Fracture
Femoral Neck Fracture
Intertrochanteric Fracture
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Key Information: ICD-10 Coding for Proximal Femur Fracture

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

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

Primary ICD-10-CM Codes

Unspecified fracture of right femoral neck, initial encounter

Billable Code
S72.001A
Billable

Diagnostic Criteria

clinical:
  • • Presence of trauma and X-ray confirmation
documentation:
  • • Detailed description of fracture type and encounter

Applicable To

  • • Traumatic fracture of right femoral neck

Important Notes

  • • Ensure documentation specifies whether the fracture is open or closed.

Pathological fracture of right femur, initial encounter

Billable Code
M84.451A
Billable

Diagnostic Criteria

clinical:
  • • DEXA scan showing osteoporosis
  • • Lack of significant trauma

Applicable To

  • • Fracture due to osteoporosis

Important Notes

  • • Document the underlying condition causing the fracture.
Ancillary Codes

Additional codes that may be used with this diagnosis

M97.01XA

Periprosthetic fracture around right hip joint, initial encounter

Use alongside primary traumatic fracture codes when a prosthetic joint is involved.

Frequently Asked Questions

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

The ICD-10 code for a right proximal femur fracture, unspecified, is S72.001A for the initial encounter.

How do you code a pathological femur fracture?

Pathological femur fractures are coded with M84.45-, specifying the underlying condition such as osteoporosis.

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