2025 ICD-10-CM code M93.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Musculoskeletal - Osteopathies and chondropathies Diseases of the musculoskeletal system and connective tissue (M00-M99) Feed
Slipped upper femoral epiphysis (nontraumatic), also known as slipped capital femoral epiphysis (SCFE) or slipped upper femoral epiphysis (SUFE).
Modifiers may be applicable depending on the specific circumstances of the encounter (e.g., place of service, anesthesia, etc.).
Surgical intervention for SCFE is medically necessary to prevent further slippage of the femoral head, avascular necrosis, and long-term hip dysfunction.The severity of the slip, the patient's age, and the presence of associated conditions all factor into the decision to perform surgery.
Diagnosis and treatment of SCFE involves a multidisciplinary approach, including orthopedists, radiologists, and possibly endocrinologists.The orthopedist is primarily responsible for evaluating the patient's symptoms, ordering imaging studies (X-rays), and performing surgical intervention when necessary. Radiologists interpret the X-rays to confirm diagnosis and assess the severity of the slip.Endocrinologists may be consulted if underlying endocrine disorders are suspected.
- Diseases of the musculoskeletal system and connective tissue (M00-M99)
- Osteopathies and chondropathies (M80-M94); Chondropathies (M91-M94)
In simple words: Slipped capital femoral epiphysis (SCFE) is a problem in the hip joint that mainly affects teenagers.The ball part of the hip joint slips slightly out of place. This might cause pain in the hip, knee, or thigh, along with limping.Doctors usually fix this with surgery.
Slipped capital femoral epiphysis (SCFE) is a disorder affecting adolescents where the growth plate at the top of the femur (thigh bone) weakens, causing the femoral head to slip backward relative to the femoral neck.This can be stable (weight-bearing possible) or unstable (weight-bearing impossible), with unstable SCFE requiring urgent treatment. Symptoms include hip, knee, or thigh pain; limp; decreased range of motion; and difficulty bearing weight. Diagnosis involves physical examination, X-rays, and possibly lab tests for endocrine disorders. Treatment usually involves surgical fixation of the femoral head with pins or screws to prevent further slippage.
Example 1: A 14-year-old obese boy presents with gradual onset of hip pain, worsening with activity.Physical examination reveals a limp and limited hip range of motion.X-rays confirm a stable SCFE. The patient undergoes surgical fixation with a single screw., A 13-year-old girl experiences sudden onset of severe hip pain after a minor fall.She is unable to bear weight on the affected leg.X-rays show an unstable SCFE.Urgent surgical intervention is performed to prevent further slippage and avascular necrosis., A 15-year-old boy with a history of hypothyroidism presents with bilateral hip pain and limping.X-rays reveal stable SCFE in both hips.Bilateral surgical pinning is performed, and endocrine follow-up is recommended.
Detailed history of present illness including onset, location, character, and duration of pain; details of any trauma or injury;assessment of gait and range of motion;results of physical examination;radiographic findings including anteroposterior and lateral views of the hips;laboratory test results (if any); operative report (if surgery performed); postoperative progress notes;discharge summary.
** The Klein line is a useful radiographic measurement to aid in the diagnosis of SCFE.It's a line drawn along the superior border of the femoral neck; if it does not intersect the femoral head, it suggests SCFE.The prognosis for SCFE depends on the severity of the slip, the timeliness of treatment, and the presence of complications like avascular necrosis.Early diagnosis and appropriate treatment are crucial for optimal outcomes.
- Payment Status: Active
- Modifier TC rule: Not applicable for this diagnosis code.
- Specialties:Orthopedic surgery, pediatric orthopedics, endocrinology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center