Left Hip Fracture ICD-10-CM Codes

Explore the commonly used ICD-10 codes for left hip fracture, their billable status, clinical information, and synonyms.

By Chloe Smith on Feb 29, 2024.

Fact Checked by Ericka Pingol.

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 Left Hip Fracture ICD-10-CM Codes

What ICD-10 Codes are Used for Left Hip Fractures  

Familiarity with the International Classification of Diseases, 10th Revision (ICD-10) is crucial for accurate documentation and communication among healthcare providers. For a left hip fracture, you may encounter several applicable codes depending on the specifics of the fracture. Here are some commonly used Left Hip Fracture ICD-10 codes:

  1. S72.002A: This code is used when the fracture is in an unspecified part of the neck of the left femur. It denotes an 'unspecified fracture of the neck of the left femur, initial encounter for a closed fracture.
  2. S72.92XA: This is used when the exact location of the fracture on the left femur isn't specified. It signifies an 'unspecified fracture of the left femur, initial encounter for a closed fracture.'
  3. M84.459A: If the fracture is due to a pre-existing disease, such as cancer, weakening the bone, you will use this code. It represents a 'pathological fracture in neoplastic disease, left femur, initial encounter for fracture.'
  4. S79.002A: Use this code for fractures in the growth plate at the top of the left femur. It is an 'unspecified physeal fracture of the upper end of the left femur, initial encounter for a closed fracture.'
  5. S72.142A: This code is used when the fracture has occurred between the neck and the body of the left femur and has moved out of place. It indicates a 'displaced intertrochanteric fracture of the left femur, initial encounter for a closed fracture.'
  6. S72.012A: Use this code when the fracture occurs at the femur part near the hip joint. It denotes a 'pertrochanteric fracture of the left femur, initial encounter for a closed fracture.'

These codes ensure accurate documentation and communication and play a significant role in medical billing and coding, ensuring that services are correctly logged for insurance purposes. 

Remember, the specific code used can depend on the exact nature of the patient's fracture, so ensure to choose the most accurate code based on the details of their condition.

Which Left Hip Fracture  ICD codes are Billable

Billable codes justify admission to an acute care hospital when used as a principal diagnosis. Here's a list of commonly used ICD-10 codes for left hip fracture and their billable status:

  1. S72.002A - Unspecified fracture of neck of left femur, initial encounter for closed fracture: Yes, this is billable.
  2. S72.92XA - Unspecified fracture of left femur, initial encounter for closed fracture: Yes, this is billable.
  3. M84.459A - Pathological fracture in neoplastic disease, left femur, initial encounter for fracture: Yes, this is billable.
  4. S79.002A - Unspecified physeal fracture of upper end of left femur, initial encounter for closed fracture: Yes, this is billable.
  5. S72.142A - Displaced intertrochanteric fracture of left femur, initial encounter for closed fracture: Yes, this is billable.
  6. S72.012A - Pertrochanteric fracture of left femur, initial encounter for closed fracture: Yes, this is billable.
  7. S72.302A - Unspecified fracture of shaft of left femur, initial encounter for closed fracture: Yes, this is billable.

These codes are typically used in clinical settings and are critical for accurate medical billing and coding. Each code clearly describes the patient's condition, which is crucial for communicating with insurance providers and ensuring appropriate reimbursement.

It's important to note that while these codes are generally billable, the specific circumstances of each patient case can affect their eligibility for billing. Always ensure to choose the most precise code based on the details of the patient's condition.

Clinical Information

  • A left hip fracture is a break in the upper part of the thigh bone (femur) that forms part of the left hip joint.
  • It is a serious injury that can drastically affect mobility and independence, particularly in older adults.
  • Hip fractures are often caused by falls, especially in older people with weaker bones. In younger people, these fractures usually result from high-energy incidents like car or motorcycle accidents.
  • The main symptoms of a hip fracture include severe pain in the hip or groin, inability to put weight on the leg, and stiffness, swelling, or bruising in the hip area.
  • Diagnosis is typically made through physical examination and imaging tests, such as X-rays or CT scans.
  • Treatment depends on the location and severity of the fracture but often involves surgery to repair the break or replace the hip joint.
  • Rehabilitation, including physical therapy, is a crucial part of recovery. This helps to restore strength and mobility to the hip and leg.
  • Prevention strategies include maintaining good bone health through adequate calcium and vitamin D intake, regular weight-bearing exercise, and measures to prevent falls, such as removing tripping hazards and using assistive devices.
  • Complications can include blood clots in the legs or lungs, infections, and bed sores from prolonged bed rest. Surgery-related complications can occur, such as reactions to anesthesia or infections at the surgical site.
  • The prognosis varies depending on the patient's age, overall health, and fracture type. Many people can regain significant function and quality of life with appropriate treatment and rehabilitation.

Synonyms Include

  • Left Femur Fracture
  • Left Thigh Bone Break
  • Fractured Left Hip
  • Broken Left Hip
  • Left Hip Bone Fracture
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Commonly asked questions

When to use a Left Hip Fracture ICD code?

ICD codes for left hip fractures are used when documenting a patient's diagnosis in their medical records. They are also used when communicating with other health professionals and billing insurance providers.

What are the common treatments for Left Hip Fracture Diagnosis Codes?

Common treatments can include surgery to repair the fracture or replace part, or all, of the hip joint. Physical therapy is also a key part of recovery.

What does a diagnosis code for Left Hip Fracture mean?

A diagnosis code for a left hip fracture provides a standardized definition. It is used for accurate documentation, communication among healthcare providers, and insurance billing purposes.

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