Right Hip Fracture ICD-10-CM Codes
Discover the importance of ICD-10 codes used for Right Hip Fracture diagnoses. Learn when and how they're used, common treatments, and what they signify.
Fact Checked by Ericka Pingol.
What ICD-10 Codes are Used for Right Hip Fractures
Understanding ICD-10 codes is fundamental for healthcare providers, as these codes provide a standardized method to document diagnoses and procedures. Here are some commonly used right hip fracture ICD-10 codes:
- S72.001A: This code is used for an unspecified fracture of the right femur's neck. It's typically applied during the initial encounter for a closed fracture. The term "unspecified" means the exact location of the fracture on the femoral neck isn't specified.
- S72.012K: This code pertains to a pertrochanteric fracture of the right femur. A pertrochanteric fracture occurs between the neck of the femur and the lesser trochanter, an area that includes two prominent bony protrusions near the top of the femur. This code is usually used for subsequent encounters for a fracture with nonunion, indicating that the bone hasn't healed properly.
- S72.141A: This code is designated for a displaced intertrochanteric fracture of the right femur. An intertrochanteric fracture occurs in the region between the greater and lesser trochanters of the femur. "Displaced" means the bone fragments have moved out of alignment. This code is employed for the initial encounter of a closed fracture.
- S72.91XA: This is the code for an unspecified fracture of the right femur. This broad category can include any fracture along the length of the femur when the specific location isn't identified. It's used for the initial encounter of a closed fracture.
- S72.019A: This code corresponds to an unspecified intracapsular fracture of the right femur. An intracapsular fracture occurs within the joint capsule, a watertight sac around the hip joint. This code is applicable for closed fractures during the initial encounter.
- S72.023A: This code is assigned for other pertrochanteric fractures on the right femur, typically used for the initial encounters for closed fractures.
- S72.033A: This code corresponds to an unspecified subtrochanteric fracture of the right femur. A subtrochanteric fracture occurs below the lesser trochanter. This code is used for initial encounters with closed fractures.
- S72.043A: This code applies to a displaced subtrochanteric fracture of the right femur. It's used for initial encounters with closed fractures.
- S72.099A: This code corresponds to other incomplete fractures of the right femur, typically used for the initial encounter for closed fractures.
- S72.109A: This code is for an unspecified trochanteric fracture of the right femur. It's used for initial encounters with closed fractures.
Which Right Hip Fracture ICD codes are Billable
Here are some commonly used ICD-10 codes for right hip fractures, along with their billable status:
- S72.001A - Unspecified fracture of the neck of the right femur, initial encounter for closed fracture. This code is billable.
- S72.012K - Pertrochanteric fracture of the right femur, subsequent encounter for a fracture with nonunion. This code is also billable.
- S72.141A - Displaced intertrochanteric fracture of the right femur, initial encounter for closed fracture. This code is billable.
- S72.91XA - Unspecified fracture of the right femur, initial encounter for closed fracture. This code is billable.
- S72.019A - Unspecified intracapsular fracture of the right femur, initial encounter for closed fracture. This code is billable.
- S72.023A - Other pertrochanteric fractures on the right femur, initial encounter for closed fracture. This code is billable.
- S72.033A - Unspecified subtrochanteric fracture of the right femur, initial encounter for closed fracture. This code is billable.
- S72.043A - Displaced subtrochanteric fracture of the right femur, initial encounter for closed fracture. This code is billable.
- S72.099A - Other incomplete fractures of the right femur, initial encounter for closed fracture. This code is billable.
- S72.109A - Unspecified trochanteric fracture of the right femur, initial encounter for closed fracture. This code is billable.
Please note that while these codes are typically billable, whether or not a code is billable can also depend on several factors, including the payer, the patient's health coverage, and the specific circumstances of the patient's condition.
Clinical Information
Right hip fractures often present complex clinical scenarios requiring immediate attention. Here's a comprehensive outline of the clinical aspects:
- A hip fracture is a break in the upper portion of the femur (thigh bone). The type of surgery used to treat a hip fracture is primarily determined by the bones and soft tissues affected or the level of the fracture.
- Hip fractures are classified based on their location on the femur: the neck (below the hip joint's ball), the intertrochanteric region (the area with bony protrusions), or the subtrochanteric region (just below these protrusions).
- A right hip fracture might include severe pain in the hip or groin, swelling or bruising, inability to bear weight on the right leg, and the right leg appearing shorter than the left or turning outward. In some cases, patients may be unable to move after a fall.
- Hip fractures are classified based on their location on the femur: the neck (below the hip joint's ball), the intertrochanteric region (the area with bony protrusions), or the subtrochanteric region (just below these protrusions).
- Diagnosis typically involves a physical examination and imaging tests such as X-rays or CT scans. An MRI may sometimes be required if other tests are inconclusive.
- Right hip fractures are generally treated with surgery, such as internal fixation or hip replacement, followed by physical therapy. The specific approach depends on the fracture type and the patient's health.
- After surgery, patients typically undergo a rehab program, including physiotherapy and occupational therapy. Recovery times depend on age, health, and fracture severity.
- Prevention strategies include maintaining a healthy lifestyle with regular exercise to strengthen muscles and improve balance, ensuring adequate calcium and vitamin D intake for bone health, regular medical check-ups to monitor bone density, and making home safety improvements to prevent falls.
Synonyms Include
- Hip Fracture
- Femoral Fracture
- Broken Hip
- Pelvic Fracture
- Femur Break
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Commonly asked questions
You should use the Right Hip Fracture ICD code when documenting or billing for a patient diagnosed with a fracture in their right hip. The ICD code provides a standardized way of representing the specific diagnosis in medical records and insurance claims.
Yes, the diagnosis of a Right Hip Fracture is billable. When a patient is diagnosed with a medical condition, including a Right Hip Fracture, healthcare providers use the corresponding ICD code on their medical claims submitted to insurance companies. This helps ensure that the appropriate medical services are reimbursed.
Treatment for a Right Hip Fracture depends on the fracture's severity and the patient's health. Non-surgical options include immobilization, pain management, and physical therapy for minor fractures. Severe fractures may require surgery, such as hip pinning, internal fixation, or hip replacement. Regardless of the treatment method, rehabilitation and physical therapy are vital for recovery.
