ICD Code S72.001A

ICD code S72.001A is a medical classification used to denote an initial encounter for a closed fracture of an unspecified part of the neck of the right femur. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is used by healthcare providers to document and categorize diagnoses and medical conditions for billing and statistical purposes. The "S72" category refers to fractures of the femur, while the "001" specifies the location as the neck of the femur, and the "A" indicates that this is the initial encounter for treatment of a closed fracture, meaning the skin around the fracture has not been broken.

1. Patient Presentation: The patient presents with symptoms indicative of a hip injury, such as severe pain in the hip or groin area, especially after a fall or direct trauma to the hip region.

2. Physical Examination: During the physical examination, the patient exhibits difficulty or inability to bear weight on the right leg, and there may be visible swelling or bruising around the hip area.

3. Range of Motion: The patient experiences limited range of motion in the hip joint, with increased pain upon movement or rotation of the leg.

4. Imaging Studies: An X-ray or other imaging studies confirm the presence of a fracture in the neck of the right femur, but the specific part of the neck is not clearly defined.

5. Fracture Type: The fracture is identified as a closed fracture, meaning the skin around the fracture site remains intact, with no open wounds.

6. Encounter Type: This is the initial encounter for the fracture, indicating that the patient is receiving active treatment for the injury for the first time.

7. Unspecified Location: The exact part of the neck of the femur that is fractured is not specified in the diagnostic findings, necessitating the use of an unspecified code.

For the ICD code S72.001A, the relevant CPT codes that may be applicable for treatment include:

1. 27130 - Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty) with or without autograft or allograft.

2. 27236 - Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement.

3. 27244 - Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture with internal fixation.

4. 27245 - Open treatment of femoral fracture, proximal end, neck, with prosthetic replacement.

5. 27248 - Closed treatment of femoral fracture, proximal end, neck, with manipulation, with or without skin or skeletal traction.

These CPT codes are typically used for surgical and non-surgical interventions related to fractures of the femur, specifically addressing the neck of the femur. It is important for healthcare providers to select the appropriate CPT code based on the specific treatment rendered to ensure accurate billing and reimbursement.

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