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You would code the aftercare codes for follow up visits while the fracture is healing after the initial treatment. The guidelines state: "Fractures are coded using the aftercare codes for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
ICD-10-CM Code for Unspecified fracture of right femur, initial encounter for closed fracture S72. 91XA.
Unspecified fracture of left femur, initial encounter for closed fracture. S72. 92XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S72.
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In ICD-10-CM a fracture not indicated as displaced or nondisplaced should be coded to displaced, and a fracture not designated as open or closed should be coded to closed. While the classification defaults to displaced for fractures, it is very important that complete documentation is encouraged.
A broken thighbone, also known as a femur fracture, is a serious and painful injury. The femur is one of the strongest bones in the body, and a break or fracture in the femur bone is often caused by severe injury such as trauma sustained in a motor vehicle accident.
Distal Femur (Thighbone) Fractures of the Knee. A fracture is a broken bone. Fractures of the thighbone that occur just above the knee joint are called distal femur fractures. The distal femur is where the bone flares out like an upside-down funnel.
Proximal femoral fractures are a heterogeneous group of fractures that occur in and around the hip. The commonest type of fracture in this region is the femoral neck fracture. They can occur anywhere between the joint surface of the femoral head and the upper shaft (proximal diaphysis) of the femur.
Proximal femur includes the femoral head, neck and the region 5-cm distal to the lesser trochanter. There is a 125°–130° inclination angle between the head and neck and the femoral body. Further, there is a 15° anteversion angle between the plane passing through the condyles of the femoral head and the femur neck.
In this case, report ICD-10-CM codes S72. 402A (Unspecified fracture of lower end of left femur, initial encounter for closed fracture) as the principal/first listed diagnosis followed by M97. 02XA (Periprosthetic fracture around internal prosthetic left hip joint, initial encounter) as a secondary diagnosis.
Unspecified fracture of shaft of right radius, initial encounter for closed fracture. S52. 301A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S52.
The general consensus is to use the fracture care codes designated as “closed treatment without manipulation” and bill the initial E/M with modifier 57.
For the debridement of an open fracture includes only skin and subcutaneous tissue, use code 11010; debridement down to the muscle fascia and muscle, code 11011; and debridement that includes skin, muscle fascia, muscle, and bone, code 11012.