Unspecified fracture of left femur, initial encounter for closed fracture
Indoors:
crutches post op day 1 just like total hip protocol • If ORIF with replacement, protect wt bear until acetabulum healed (8-12 weeks, then follow protocol for THA) • If anterior approach for THA no precautions, if ant lateral or posterior, hip precautions 6 weeks
Signs and symptoms of a hip fracture include:
S72. 91XA 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.
ICD-10 Code for Encounter for other orthopedic aftercare- Z47. 89- Codify by AAPC.
Open reduction with internal fixation (ORIF) of the hip is a procedure performed to repair a complex or severe hip fracture. When the hip bone has been damaged or misaligned to the point that it will not heal properly on its own, a surgeon must repair the bones manually.
CPT® Code 27245 in section: Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture.
CPT code 25607 is reported for open treatment of the fracture with internal fixation; CPT code 25608 for fracture repair in which two fragments of bone in the joint receive internal fixation; and CPT code 25609 for fracture repair in which three or more fragments of bone in the joint receive internal fixation.
The 2022 edition of ICD-10-CM S72. 142A became effective on October 1, 2021. This is the American ICD-10-CM version of S72. 142A - other international versions of ICD-10 S72.
ORIF utilizes open surgery to set the fracture followed by the use of plates, pins, and screws to hold the bones in place. THA involves surgically removing both the femoral head and acetabular cartilage, and replacing them with an artificial femoral head and acetabular cup.
Open reduction means that the bone is moved back into the right place with surgery. Internal fixation means that hardware (such as screws, rods, or pins) is used to hold the broken bones together. You may also need an implant to replace your hip socket. ORIF of a hip fracture is also called percutaneous hip pinning.
Internal fixation refers to the method of physically reconnecting the bones. This might involve special screws, plates, rods, wires, or nails that the surgeon places inside the bones to fix them in the correct place. This prevents the bones from healing abnormally.
Pathological fracture, hip, unspecified, initial encounter for fracture. M84. 459A 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 M84.
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.
142 for Displaced intertrochanteric fracture of left femur is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .