ICD 10 CM S72.064E | Description & Clinical Information

ICD 10 S72.064E describes a specific type of fracture in the right femoral head, which is the rounded upper part of the thigh bone that is covered in cartilage and fits into the hip socket, that occurs due to trauma such as a fall, sports injury, motor vehicle accident, or low bone density, and is characterized by the fracture fragments remaining in alignment, with type I or type II referring to the Gustilo classification for open long bone fractures, and this code is used for subsequent encounters for an open, normally healing fracture that is exposed through a tear or laceration of the skin caused by displaced fracture fragments or external injury.

Official Description Of S72.064E

The ICD 10 CM book defines ICD 10 code S72.064E as:

Nondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II 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-)

When To Use S72.064E

The diagnosis describes by the ICD 10 CM S72.064E code is a specific type of fracture which affects the head of the right femur. This type of injury can cause severe hip pain, as well as swelling, bruising, and a possible laceration. Individuals with this type of injury may also experience difficulty bearing weight, walking, or lifting their leg.

Hip pain is a common symptom associated with this type of injury, particularly with any attempts to move the affected limb. Groin or hip pain can also occur in cases of femoral head fractures, particularly those that occur with traumatic posterior dislocation of the hip. The forces shearing against the femoral head as it comes out of the socket can be the root cause of this type of injury.

In addition to the symptoms described above, this type of injury can lead to a number of secondary complications. Deep vein thrombosis is a significant risk factor, as is sciatic nerve injury, avascular necrosis, and arthritis.

Diagnosis of an S72.064E fracture is based on a variety of factors. A thorough history and physical exam are critical, as is the use of imaging technologies such as X-rays, CT scans, and MRI scans. Laboratory studies can also be employed to reveal any coexisting medical conditions.

Treatment for this type of injury can be complex and multifaceted, and depends on the severity of the injury itself as well as the patient’s individual needs. In some cases, immediate closed reduction of the dislocated femoral head and fracture fragments is necessary. Other cases may require open reduction and internal fixation, or total hip arthroplasty to stabilize the fracture.

In addition to these techniques, providers may also employ anticoagulant medications in order to prevent deep vein thrombosis and subsequent pulmonary embolism. Analgesics and muscle relaxants can be used for pain control, while antibiotics may be used to avoid postoperative infection. Physical therapy rehabilitation is also frequently employed for patients recovering from this type of injury, along with the management of any coexisting conditions that may be present.

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