ICD 10 CM S72.123H | Description & Clinical Information

ICD 10 S72.123H describes a specific type of fracture in the femur bone, where the lesser trochanter, a small conical bony projection located at the lower back part of the base of the femoral neck, is broken and the pieces of the bone are misaligned due to high impact trauma, such as a direct blow from a fall, crush injury, motor vehicle accident, or sports incident, and in this particular case, the provider has not documented whether the injury involves the right or left femur at a subsequent encounter for delayed healing of a Gustilo classification based type I or II fracture that was exposed through a tear or laceration of the skin caused by the displaced fragments or external trauma.

Official Description Of S72.123H

The ICD 10 CM book defines ICD 10 code S72.123H as:

Displaced fracture of lesser trochanter of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
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 the ICD 10 CM S72.123H code is a specific type of femur fracture characterized by a displacement and closed fracture of the lesser trochanter of the femur in an unspecified leg. Even though less frequent, this type of fracture can result in severe pain and swelling in the hip area, bruising, pain on moving the leg or bearing weight, and limited range of motion.

In order to confirm the diagnosis of the patient, healthcare providers and medical coders use a combination of techniques. These methods include a thorough patient history and physical examination, in addition to a number of imaging techniques such as anteroposterior and lateral view X-rays, magnetic resonance imaging, computed tomography, and bone scan.

Treatment options for femur fractures depend largely on the severity and nature of the fracture. In the case of stable and closed fractures, treatment may not require surgery. Instead, medical professionals may prescribe treatments such as application of ice pack; rest; cast to restrict limb movement; light traction; medications such as analgesics and nonsteroidal anti-inflammatory drugs for pain; and, as healing progresses, physical therapy and weight-bearing exercises.

However, unstable or displaced fractures almost always require reduction and fixation procedures, which may involve screws, plates, or other hardware. Furthermore, open fractures require surgery to close the wound and stabilize the fracture site in addition to other potential procedures to address both the wound and the fracture.

It’s important to note that treatment of femur fractures and other types of bone fractures are highly individualized based on the unique circumstances of each case. Factors that may affect treatment options include the patient’s age, overall health, and level of physical activity, in addition to the severity and location of the fracture.

Medical coders must be familiar with the various treatment options and medical interventions that are commonly used to treat femur fractures, as well as other types of fractures. This knowledge enables them to assign the appropriate codes for the treatments provided, ensuring accurate reimbursement for healthcare services and insurance claims.

In summary, the ICD 10 CM S72.123H is a code used to identify a specific type of closed, displaced femur fracture on an unspecified leg. This diagnosis can be confirmed through a combination of patient history, physical examination, and imaging techniques. Treatment options vary depending on the severity of the fracture, and medical coders play an essential role in assigning accurate codes for the various treatments provided.

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