ICD 10 CM S72.341R | Description & Clinical Information

ICD 10 S72.341R describes a specific type of fracture in the right femur, characterized by a spiral break that occurs due to forceful twisting of the thigh with the knee or foot anchored in place, being hit by a motor vehicle, a fall from a high elevation, gunshot injuries, or thinning of the bones or cancer in the elderly, resulting in displacement of the fracture fragments, and this code is used for subsequent encounters when an open Gustilo type IIIA, IIIB, or IIIC fracture is exposed through a tear or laceration in the skin and the fragments unite incompletely or in a faulty position.

Official Description Of S72.341R

The ICD 10 CM book defines ICD 10 code S72.341R as:

Displaced spiral fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
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 S72.341R

The diagnosis describes by ICD 10 CM S72.341R pertains to a displaced spiral fracture of the shaft of the right femur. This medical condition can be excruciating, especially when moving the leg or bearing weight on it. The affected site may also experience swelling, tenderness, and bruising. Consequently, moving the leg may become increasingly difficult, and the range of motion may be restrictively narrow.

Medical providers typically diagnose this condition by taking into account the patient’s medical history and administering a physical examination. Additional evaluations that include imaging techniques such as X-rays (AP and lateral view), computed tomography (CT), and magnetic resonance imaging (MRI) may also be performed to discern the severity of the injury. In some cases, bone scans are conducted if the provider suspects a pathologic fracture.

Treatment of stable and closed fractures may involve using a splint or cast to restrict limb movement, as surgery is not usually required. However, unstable fractures necessitate open or closed reduction and fixation, while open wounds require surgical intervention to facilitate healing. Patients dealing with pain can benefit from narcotic analgesics and/or nonsteroidal anti-inflammatory drugs (NSAIDs), depending on the severity of the pain. As healing progresses, the use of exercises can help to enhance flexibility, strength, and range of motion.

It is essential to understand that medical coding plays a crucial role in the administrative side of healthcare. Medical coders utilize the ICD 10 system to translate medical diagnoses, symptoms, and treatments into standardized codes. With the use of these codes, medical professionals can bring about efficient communication between patients, providers, and insurance providers. Moreover, medical coding allows for the efficient maintenance of medical records, including electronic health records, and facilitates the billing process. As such, medical coding stands as an integral part of healthcare administration.

In conclusion, ICD 10 CM S72.341R describes a displaced spiral fracture of the shaft of the right femur, which can result in severe pain, swelling, and mobility restrictions. Medical providers can diagnose this condition through patient history, physical examination, and imaging techniques. Treatment depends on the severity of the injury, with stable fractures requiring a splint or cast, while unstable ones necessitate surgery or closed/open reduction and fixation. Medical coders utilize the ICD 10 system to translate medical diagnoses, symptoms, and treatments into standardized codes to ensure efficient communication and administrative efficiency in healthcare.

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