ICD 10 CM S72.034B | Description & Clinical Information

ICD 10 S72.034B describes a specific type of femur fracture, known as a displaced midcervical fracture, which occurs when the femoral neck is broken in the middle portion, causing the fracture fragments to separate and not meet, and is typically caused by traumatic incidents such as automobile accidents, sports injuries, or falls, particularly in elderly patients with low bone density, and this code is used for the initial encounter of a fracture that is exposed through a tear or laceration of the skin caused by the fracture fragments or external trauma, with type I or II classification based on the Gustilo system for open long bone fractures.

Official Description Of S72.034B

The ICD 10 CM book defines ICD 10 code S72.034B as:

Nondisplaced midcervical fracture of right femur, initial encounter for open fracture type I or II
Parent Code Notes: S72.0

Excludes2: physeal fracture of upper end of femur (S79.0-)

Parent Code Notes: S72

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 S72.034B

The diagnosis describes by the ICD 10 CM code S72.034B is a specific type of femur fracture that occurs at the midcervical region of the bone. This type of fracture can result in severe pain, swelling, bruising, muscle spasm, deformity, and an inability to move the affected limb. In some cases, the patient may also experience numbness and tingling due to possible nerve or blood vessel injury.

To diagnose this condition, providers typically begin by taking a detailed medical history and performing a physical examination, paying close attention to the extent of the wound and assessing nerves and blood supply. Imaging techniques, such as X-rays, CT scans, MRIs, and bone scans, may be used to confirm the diagnosis and determine the severity of the injury. Laboratory studies may also be ordered to monitor blood loss and clotting factors.

The treatment of this type of fracture depends on its stability. Stable and closed fractures can often be managed with conservative methods such as rest and immobilization with a cast or splint, as well as medication to manage pain. On the other hand, unstable fractures may require surgery to reduce and fixate the bone. In some cases, total joint replacement with an artificial joint may be necessary, especially if the fracture involves the hip joint. Open fractures, which occur when the bone breaks through the skin, require surgical intervention to clean and close the wound.

After the fracture has healed, patients may still need intervention to restore flexibility, strength, and range of motion. Exercises and physical therapy can be very beneficial to aid in rehabilitation. It is important for patients to follow their provider’s instructions and avoid activities that could further damage the bone, as well as to take any prescribed medication as directed.

In conclusion, the diagnosis described by the ICD 10 CM code S72.034B can cause a range of symptoms, and the treatment approach largely depends on the severity of the fracture. Collaboration between providers, imaging specialists, and laboratory staff is essential to ensure proper diagnosis and management of this condition. Patients should maintain regular follow-up appointments to monitor their progress and address any concerns that may arise during their recovery.

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