ICD 10 CM S72.066J | Description & Clinical Information

ICD 10 S72.066J describes a specific type of fracture in the upper part of the thigh bone, which is covered in cartilage and fits into the hip socket, that occurs due to trauma such as a fall, sports injury, low bone density, or motor vehicle accident, where the fracture fragments remain in alignment and the injury is unspecified as to whether it involves the left or right femur, and this code is used for a subsequent encounter for delayed healing of an open fracture that is exposed through a tear or laceration of the skin caused by displaced fracture fragments or external injury, with type IIIA, IIIB, or IIIC referring to the Gustilo classification for open long bone fractures.

Official Description Of S72.066J

The ICD 10 CM book defines ICD 10 code S72.066J as:

Nondisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed 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 S72.066J

The diagnosis describes by the ICD 10 CM S72.066J code is a nondisplaced articular fracture of the head of an unspecified femur. This condition can lead to severe hip pain, swelling, bruising, and possible laceration. Patients with this type of fracture often experience an inability to bear weight or lift their leg, as well as pain through the groin or hip region when attempting to move the injured limb.

One of the main causes of femoral head fractures is traumatic posterior dislocation of the hip. This occurs when forces shear against the femoral head as it comes out of the socket. The risk of deep vein thrombosis, sciatic nerve injury, avascular necrosis, and arthritis is high with this type of injury.

Diagnosis of this condition requires a thorough history and physical examination of the patient. In addition, healthcare providers may order X-rays, CT scans, MRI scans, and laboratory studies to reveal any coexisting medical conditions.

The treatment for this condition varies based on the severity of the fracture. In cases of immediate closed reduction of the dislocated femoral head and fracture fragments, treatment is aimed at stabilizing the injury. Other femoral head fractures may require open reduction and internal fixation or total hip arthroplasty to stabilize the fracture.

Patients with this diagnosis are also at risk for deep vein thrombosis and secondary pulmonary embolism. Thus, anticoagulant medications may be prescribed to prevent these complications. Analgesics and muscle relaxants for pain control, as well as antibiotics to avoid postoperative infections, may also be given as part of the treatment plan.

Following surgery, patients must undergo physical therapy rehabilitation to aid in recovery and manage any coexisting conditions. The road to recovery can be long, and it is important for patients to follow their treatment plan closely to ensure the best possible outcomes.

In conclusion, the ICD 10 CM S72.066J diagnosis code describes a serious medical condition that can cause a wide range of symptoms and complications. Swift diagnosis and treatment are necessary to prevent further injury and ensure a successful recovery. Patients must work closely with their healthcare providers to create a comprehensive treatment plan that addresses their unique needs and medical history.

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