ICD 10 S72.033P describes a type of femoral neck fracture, also known as a transcervical fracture, which occurs when the femoral neck is broken in the midportion, resulting in a separation of the fracture fragments that do not meet, due to trauma from various causes such as falls, sports injuries, or automobile accidents, particularly in elderly patients with low bone density, and in this particular case, the provider has not documented whether the fracture involves the right or left femur at a subsequent encounter for a closed fracture, where the fragments unite incompletely or in a faulty position.
Official Description Of S72.033P
The ICD 10 CM book defines ICD 10 code S72.033P as:
Excludes2: physeal fracture of upper end of femur (S79.0-)
Excludes1: traumatic amputation of hip and thigh (S78.-)
Excludes2: fracture of lower leg and ankle (S82.-)
fracture of foot (S92.-)
periprosthetic fracture of prosthetic implant of hip (M97.0-)
When To Use S72.033P
The diagnosis describes by the ICD 10 CM S72.033P code refers to a midcervical fracture of the femur, which may result in a range of symptoms and complications. This type of fracture occurs in the middle portion of the femur bone, and it can be caused by trauma, such as a fall from a height or a motor vehicle accident. The severity of the symptoms and the course of treatment depend on the extent of the fracture and whether it is stable or unstable.
Patients with this type of fracture may experience severe pain, bleeding, swelling, bruising, muscle spasms, and deformity around the affected area. They may also develop numbness and tingling sensations due to possible nerve or blood vessel injury. A comprehensive evaluation is required to determine the extent of the injury and tailor treatment accordingly.
The diagnosis is typically made through a combination of medical history-taking and physical examination. During the physical examination, the healthcare provider assesses the extent of the wound, including nerve and blood supply. Imaging techniques, such as X-rays, CT scans, MRIs, and bone scans, are also commonly used to establish the extent of the injury. Additionally, laboratory studies may be performed to monitor blood loss and clotting factors.
Treatment varies based on the severity of the fracture. Stable and closed fractures may not require surgery and can be treated with rest, a splint, or a cast to restrict limb movement, or traction. Medications, such as narcotics, analgesics, or nonsteroidal anti-inflammatory medication may also be prescribed to relieve pain.
However, in cases of unstable fractures, closed or open reduction and fixation may be required to stabilize the fracture. Total joint replacement with an artificial joint may be necessary in severe cases. Open fractures, where the bone breaks through the skin, require surgery to clean and close the wound. Depending on the situation, the patient may require antibiotics to prevent infection.
After the initial treatment and recovery, patients may require exercises to improve flexibility, strength, and range of motion in the affected area. Physical therapy may help alleviate the long-term impact of the injury, such as chronic pain or limited mobility.
In conclusion, midcervical femur fractures can be a painful and debilitating injury. Prompt diagnosis and treatment are essential to prevent issues such as nerve or blood vessel damage and infection. Treatment plans may vary and depend on the location and extent of the fracture, but they often include a combination of medications, rest, immobilization, and surgery, followed by recovery and rehabilitation. Timely intervention and a comprehensive approach can help individuals recover and resume their normal activities.