ICD 10 CM S72.046F | Description & Clinical Information

ICD 10 S72.046F describes a specific type of femur fracture, also known as a cervicotrochanteric or basal femoral fracture, which occurs when the ball of the hip joint and the greater and lesser trochanters near the thigh bone’s shaft break without any fragments separating, resulting from trauma such as a fall, sports injury, motor vehicle accident, or low bone density, and is classified as type IIIA, IIIB, or IIIC according to the Gustilo classification for open long bone fractures, with the provider not documenting whether the fracture involves the right or left femur at this subsequent encounter for an open, normally healing fracture exposed through a tear or laceration of the skin caused by external injury.

Official Description Of S72.046F

The ICD 10 CM book defines ICD 10 code S72.046F as:

Nondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
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-)

Clinical Information

The diagnosis describes by ICD 10 CM S72.046F is a non-displaced fracture at the base of an unspecified femur. The condition can result in hip pain, swelling, bruising, and inability to bear weight, walk, or lift the leg. Patients may also feel pain through the groin or hip region when attempting to move the injured limb.

Medical providers diagnose this condition through history and physical examination, using X-rays, CT scans, and MRI scans, as well as laboratory studies to reveal any coexisting medical conditions. The diagnostic process involves a thorough examination of the patient’s medical history, including any past injuries, surgeries, or chronic medical conditions that may impact the course of treatment for the fracture.

In most cases, a stable mid-cervical femoral fracture will require open reduction and internal fixation to stabilize the fracture. In addition, patients commonly require anticoagulant medications to prevent deep vein thrombosis and secondary pulmonary embolism. Antibiotics can also help to avoid postoperative infection.

The postoperative care for patients with a femoral fracture typically involves physical therapy rehabilitation. Patients may begin walking immediately after surgery with the help of a physical therapist. Pain management is an important aspect of postoperative care and requires careful monitoring and management to ensure the patient’s comfort and well-being.

If medical providers deem patients unable to have surgery, nonsurgical treatment may be used. This includes immobilization, aggressive analgesic pain management, and physical therapy. Nonsurgical treatment options may be limited in some cases, but they can still provide effective relief for patients.

It is important for patients and medical providers to work closely together throughout the treatment process. Recovery from femoral fractures can be a long and challenging journey. However, by following a comprehensive treatment plan and obtaining physical therapy rehabilitation, patients can regain their mobility and independence.

In conclusion, the diagnosis described by ICD 10 CM S72.046F necessitates specialized medical attention and care. Medical providers must be prepared to assess the patient’s condition thoroughly while also tending to any coexisting medical conditions. Proper treatment tactics can restore patients to a pain-free, functional state, allowing them to improve their overall quality of life.

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