ICD 10 CM S72.045D | Description & Clinical Information

ICD 10 S72.045D describes a specific type of fracture in the left femur’s neck, known as a cervicotrochanteric or basal femoral fracture, which occurs when there is a break between the ball of the hip joint and the greater and lesser trochanters near the thigh bone’s shaft, caused by trauma such as a motor vehicle accident, fall, sports injury, or low bone density, and is characterized by the fracture fragments remaining aligned, and is applicable to a subsequent encounter for a normally healing, closed fracture that is not exposed through a tear or laceration in the skin.

Official Description Of S72.045D

The ICD 10 CM book defines ICD 10 code S72.045D as:

When To Use S72.045D

The diagnosis describes by ICD-10-CM S72.045D refers to a specific type of fracture that occurs in the base of the neck of the left femur. This type of femoral fracture can cause a broad range of symptoms, including swelling, bruising, and an inability to bear weight or walk. Patients may also experience pain in the groin or hip region when attempting to move the affected limb.

Medical providers often diagnose this condition through a combination of patient history, physical examination, and diagnostic imaging tests. These tests typically include X-rays, CT scans, and MRI scans, in addition to laboratory studies to identify any underlying medical conditions that may be contributing to the fracture.

Once a diagnosis is made, treatment typically involves open reduction and internal fixation to stabilize the fracture. In addition to the surgical intervention, anticoagulant medications may be given to prevent deep vein thrombosis and secondary pulmonary embolism. Antibiotics may also be prescribed to prevent postoperative infection.

Postoperatively, patients may begin walking with the help of physical therapy rehabilitation. However, successful recovery from this type of fracture often involves comprehensive management of any underlying medical conditions that may be contributing to the fracture. This includes ongoing pain management, management of any coexisting conditions, and ongoing physical therapy to help restore mobility and function.

In some cases, providers may also opt for nonsurgical treatment using immobilization, aggressive pain management, and physical therapy. This may be appropriate for patients who cannot undergo surgery due to other medical issues or who are deemed too high-risk for surgical intervention.

Overall, the ICD-10-CM S72.045D diagnosis code describes a complex and potentially serious medical condition that requires careful management and treatment from an experienced healthcare provider. By understanding the nature of this fracture and the available treatment options, providers can work with their patients to develop a comprehensive treatment plan that maximizes outcomes and improves quality of life.