Pertrochanteric femoral fractures are a subtype of trochanteric fractures involving the femur. They are one of the most common fractures in old patients. They can involve both the greater and lesser trochanter and are a type of extracapsular fracture.
As previously noted, pertrochanteric fractures are extracapsular hip fractures spanning of the region between the femoral neck and femoral shaft.
The fracture line of an intertrochanteric fracture runs along the base of the femoral neck between the trochanters, whereas in a pertrochanteric fracture, the line involves both trochanters, one or both of which, may be fractured or separated.
ICD-10 Code for Unspecified fracture of right femur, initial encounter for closed fracture- S72. 91XA- Codify by AAPC.
“Intertrochanteric” means “between the trochanters,” which are bony protrusions on the femur (thighbone). They're the points where the muscles of the thigh and hip attach.
2. Definition. Trochanteric fracture involves the proximal femur between the cervical region and the shaft. Subtrochanteric fracture, with a fracture line running from an area within 5 cm distal to the lesser trochanter, is usually also included in the definition [6].
The proximal femoral nail (PFN) is an osteosynthetic implant designed to treat proximal femoral fractures in the trochanter area with a closed intramedullary fixation method.
An intertrochanteric fracture is a type of hip fracture or broken hip. The hip is made up of two bones—the femur, or "thigh bone," and the pelvis, or "socket." The hip is an important ball-in-socket joint that allows you to move your leg when walking.
A hip fracture is a break in the thighbone (femur) of your hip joint. Joints are areas where two or more bones meet. Your hip joint is a "ball and socket" joint, where your thighbone meets your pelvic bone.
Fracture of femur ICD-10-CM S72. 309A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
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.
ICD-10-CM S72. 001A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 521 Hip replacement with principal diagnosis of hip fracture with mcc. 522 Hip replacement with principal diagnosis of hip fracture without mcc.
A fracture not indicated as displaced or nondisplaced should be coded to displaced. A fracture not indicated as open or closed should be coded to closed. The open fracture designations are based on the Gustilo open fracture classification. Type 1 Excludes.
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. Type 1 Excludes.
The 2022 edition of ICD-10-CM S72.14 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. code to identify any retained foreign body, if applicable ( Z18.-)
The 2022 edition of ICD-10-CM S72.91XA 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. Type 1 Excludes.
Fracture of femur S72- 1 A traumatic or pathologic injury to the femur in which the continuity of the femur is broken. 2 Breaks or rupture in bone situated between the hip and the knee, the femur. 3 Fractures of the femur.
Breaks or rupture in bone situated between the hip and the knee, the femur.
542 Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
The 2022 edition of ICD-10-CM M84.750A became effective on October 1, 2021.