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2025 ICD-10-CM code S72.032

Displaced midcervical fracture of the left femur.

Appropriate use of additional codes to specify fracture type (open vs. closed), laterality, and initial versus subsequent encounter is crucial for accurate coding and reimbursement.A secondary code from Chapter 20 should be used to document the external cause of injury.

Modifiers may be applicable to reflect the circumstances of service, such as anesthesia provided (e.g., modifier QX) or use of imaging studies (e.g., modifier 26 or 59).

Medical necessity for treatment is established by the presence of a displaced midcervical fracture of the femur, confirmed through imaging. The need for surgery versus nonsurgical management depends on fracture displacement, stability, and the presence of open wounds or neurovascular compromise.Justification for surgical intervention may be based on the patient's age, overall health, functional status, and the risk of nonunion or malunion.

The clinical responsibility involves diagnosing the fracture through patient history, physical examination, and imaging. Treatment decisions depend on the fracture's severity and may include nonsurgical and surgical management. Post-operative care, rehabilitation, and monitoring for complications are also significant aspects.

IMPORTANT:Additional codes may be necessary to specify the type of fracture (open vs. closed), the initial versus subsequent encounter, and any complications.Use secondary codes from Chapter 20 (External causes of morbidity) to indicate the cause of injury.If applicable, use additional codes to identify retained foreign bodies (Z18.-).

In simple words: A displaced midcervical fracture of the left femur (thigh bone) is a broken bone in the middle of the neck of the thigh bone where the pieces don't line up.This usually happens because of a fall, accident, or injury.It can be very painful and may need surgery to fix.

A displaced midcervical fracture of the left femur, also known as a transcervical fracture, is a fracture line that runs through the midportion of the femoral neck.The fracture fragments are separated and do not meet. This type of fracture typically results from trauma such as an automobile accident, sports injury, or fall. It is more common in elderly patients with low bone density.The condition can cause severe pain, bleeding, swelling, bruising, muscle spasm, deformity, limb immobility, and potential numbness or tingling due to nerve or blood vessel injury. Diagnosis involves a thorough patient history, physical examination, imaging studies (X-rays, CT scans, MRI, and/or bone scans), and potentially laboratory tests to assess blood loss and clotting factors. Treatment may range from conservative measures (rest, traction, splint or cast, pain medication) to surgical intervention (closed or open reduction and fixation, potentially total joint replacement) depending on fracture stability and the presence of open wounds.

Example 1: A 70-year-old woman falls and sustains a displaced midcervical fracture of her left femur.She presents to the emergency room with severe pain and inability to bear weight. X-rays confirm the diagnosis.She undergoes open reduction and internal fixation (ORIF) surgery., A 25-year-old male athlete suffers a displaced midcervical fracture of the left femur during a football game. The fracture is open, type IIIA. He is admitted to the hospital for surgical repair, wound debridement, and antibiotic treatment., An elderly patient with osteoporosis experiences a fall resulting in a displaced midcervical fracture of the left femur.Due to the patient's comorbidities and overall frailty, the treatment plan focuses on conservative management with pain control and physical therapy.

Detailed patient history including mechanism of injury, physical examination findings focusing on the affected limb and neurovascular status, imaging studies (X-rays, CT scans, MRI as needed), operative report if surgery performed, pathology report if biopsy done, and documentation of post-operative course, including complications and rehabilitation.

** The seventh character in the code is crucial and depends on the type of fracture and encounter (initial vs. subsequent).Careful documentation and adherence to coding guidelines are essential for accurate claim submission.

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