What You Need to Know
When the radius breaks near the wrist, it is called a distal radius fracture. The break usually happens due to falling on an outstretched or flexed hand. It can also happen in a car accident, a bike accident, a skiing accident or another sports activity. A distal radius fracture can be isolated, which means no other fractures are involved.
A periprosthetic hip fracture is a broken bone that occurs around the implants of a total hip replacement. It is a serious complication that most often requires surgery.
Periprosthetic fractures (PF) are considered fractures associated with an orthopedic implant, whether a replacement or internal fixation device. The global incidence of all types of PF is increasing constantly due to the growing number of primary joint arthroplasties and revision surgeries (1).
Periprosthetic fractures are fractures that occur in association with an orthopaedic implant, most often used for joint arthroplasty or fracture fixation. They are associated with significant morbidity and increased mortality in some cases.
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.
You can use 27507 however, as a reference to the carrier, of the basis of your fee. Be sure to use the diagnosis code for a periprosthetic fracture, along with the femoral shaft diagnosis code, and the V code for THR.
Periprosthetic in medicine refers to a structure in close relation to an implant. Clinically it can refer to: Bone fracture or 'periprosthetic fracture' around an artificial joint, e.g. after a knee replacement.
Periprosthetic fractures occur in approximately 1% of patients [80,81]. Risk factors for periprosthetic fracture include both patient factors and surgical factors.
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.
Subtrochanteric (ST) femur fractures are defined as fractures of the proximal femur that occur within 5 cm of the lesser trochanter. 1. Overall, the incidence of these fractures has been estimated to be approximately 15–20 per 100,000 individuals.
Fracture of femur ICD-10-CM S72. 309A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
ICD-10-CM Code for Unspecified fracture of right femur, initial encounter for closed fracture S72. 91XA.
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The 2022 edition of ICD-10-CM S72.92XA became effective on October 1, 2021.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code.
If the periprosthetic fracture is traumatic or pathological than you are to code first by site of the fracture (a DX from the S category), second a code from the M97 category (or M87 category or other supportive category if pathological) and third the appropriate external cause code if applicable. I would recommend querying the provider for any missing information or unclear diagnosis.
If the reason for admission/encounter is the fracture, the specific type of fracture (traumatic or pathological) should be sequenced first and the periprosthetic fracture.
As for the T codes yes they are fo,r among other things, mechanical complications which could be the cause of a peri prosthetic fracture, in which case you use the T code and not the M97. So there are various answers depending upon the rest of the story. You must log in or register to reply here. Forums.
code should be sequenced as a secondary diagnosis code.
so if there was a trauma incident that caused the fracture yes an S code. if it were pathologic the you need the M80 code , but if it is a complication then you need an complication T code.