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S72.91XA
ICD-10-CM
Right Hip Fracture

Find information on right hip fracture diagnosis, including clinical documentation, medical coding, ICD-10 codes, and healthcare guidelines. This resource covers right hip fracture treatment, symptoms, and aftercare, providing essential information for physicians, coders, and other healthcare professionals. Learn about right intertrochanteric fracture, right femoral neck fracture, and other specific right hip fracture types. Explore relevant documentation requirements and accurate coding for optimal reimbursement. Access resources for managing and documenting right hip fractures in a clinical setting.

Also known as

Right Femoral Fracture
Right Proximal Femur Fracture
r hip fracture
+3 more

Diagnosis Snapshot

Key Facts
  • Definition : Break in the upper part of the femur bone.
  • Clinical Signs : Hip pain, inability to bear weight, leg shortening, external rotation.
  • Common Settings : Falls, osteoporosis, trauma. Treated in hospitals or orthopedic clinics.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S72.91XA Coding
S72.0-S72.9

Fracture of femur

This range covers fractures of the thigh bone, including the hip.

S32.0-S32.9

Fracture of pelvis

Includes fractures of the pelvic ring which can be associated with hip injuries.

M80.0-M80.9

Osteoporosis with current pathological fracture

Classifies hip fractures if caused by underlying osteoporosis.

T93.0-T93.9

Sequelae of fractures of lower limb

Covers long-term complications following a healed hip fracture.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the fracture traumatic?

  • Yes

    Closed or open fracture?

  • No

    Pathological fracture?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right Hip Fracture
Right Femoral Neck Fracture
Right Intertrochanteric Fracture

Documentation Best Practices

Documentation Checklist
  • ICD-10: Confirm S72, specify laterality
  • Document fracture type (e.g., displaced, intertrochanteric)
  • Mechanism of injury details (e.g., fall from standing)
  • Pre-existing conditions impacting treatment
  • Document clinical findings: pain, swelling, deformity

Coding and Audit Risks

Common Risks
  • Laterality Unspecified

    Coding right hip fracture without specifying laterality (right) can lead to claim rejections and inaccurate data reporting. Use appropriate laterality codes.

  • Fracture Type Missing

    Lack of specific fracture type (e.g., displaced, open) impacts reimbursement and quality metrics. CDI should query for details to ensure complete coding.

  • Traumatic vs. Pathologic

    Failing to distinguish traumatic fractures from pathologic fractures affects coding accuracy. Documentation should clarify the cause to support correct code assignment.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding: S72.*, M80.*, M70.* for hip fx specificity.
  • CDI: Document fracture type, displacement, laterality for proper coding.
  • Compliance: Ensure dx aligns with clinical findings and supports medical necessity.
  • Query physicians for clarification on unspecified hip fracture documentation.
  • Timely coding & billing: Prevent denials by capturing all relevant diagnoses.

Clinical Decision Support

Checklist
  • Confirm mechanism of injury documented (fall, trauma)
  • Physical exam: Pain, deformity, limited ROM, ecchymosis
  • Imaging: X-ray (AP, lateral, oblique) confirms fracture
  • Assess neurovascular status distal to injury site
  • Document fracture type, location, displacement for ICD-10

Reimbursement and Quality Metrics

Impact Summary
  • Right Hip Fracture reimbursement hinges on accurate ICD-10-CM (S72.-) and CPT coding for procedures like ORIF or hemiarthroplasty. Coding errors impact claim denials and revenue cycle.
  • Quality metrics for Right Hip Fracture include time to surgery, pain management, and post-op complications like infections. Accurate documentation is crucial for performance reporting.
  • Hospital readmission rates for Right Hip Fracture are a key quality indicator. Effective discharge planning and patient education can minimize readmissions and optimize reimbursement.
  • Mortality rates post Right Hip Fracture are closely monitored. Accurate coding and documentation of comorbidities contribute to risk adjustment and quality improvement initiatives.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code specific fracture site
  • Laterality: Right hip crucial
  • ICD-10-CM: S72 series
  • Document fracture type
  • Check 7th character for episode

Documentation Templates

Patient presents with complaints of right hip pain following a fall.  On examination, there is significant tenderness to palpation over the right greater trochanter and limited range of motion in the right hip due to pain.  Patient reports an inability to bear weight on the affected extremity.  Mechanism of injury is consistent with a right hip fracture.  Differential diagnosis includes intertrochanteric fracture, femoral neck fracture, and subtrochanteric fracture.  Preliminary diagnosis of right hip fracture is made based on clinical presentation and mechanism of injury.  Imaging studies, including right hip x-ray and possibly CT scan or MRI, are ordered to confirm the diagnosis and classify the fracture.  Treatment plan may include surgical intervention such as open reduction internal fixation (ORIF), hip replacement surgery, or conservative management depending on fracture type, displacement, and patient's overall health status.  Pain management with analgesics will be initiated.  Patient education provided regarding fall prevention strategies, postoperative care, and physical therapy.  ICD-10 code S72 will be utilized pending imaging confirmation of fracture location and type.  Appropriate CPT codes for evaluation and management, imaging studies, and potential surgical procedures will be documented and submitted for medical billing.  Follow-up scheduled to review imaging results and discuss definitive treatment plan.
Right Hip Fracture - AI-Powered ICD-10 Documentation