ICD Code S72.002A

ICD code S72.002A is a medical classification used to denote an initial encounter for a closed fracture of an unspecified part of the neck of the left 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 "initial encounter" indicates that this is the first time the patient is being treated for this specific fracture, and "closed fracture" means that the bone is broken but has not pierced the skin.

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.

2. Physical Examination: Upon examination, there is noticeable swelling, bruising, or deformity around the hip region. The patient may also exhibit an inability to bear weight on the affected leg.

3. Range of Motion: The patient experiences limited range of motion in the hip joint, with significant discomfort or pain during movement.

4. Imaging Studies: X-rays or other imaging modalities confirm the presence of a fracture in the neck of the 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.

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

7. Laterality: The fracture is located on the left side, affecting the left femur.

8. Patient History: The patient may have a history of osteoporosis or other conditions that predispose them to fractures, although this is not necessary for the use of the code.

9. Exclusion of Other Conditions: Other potential causes of hip pain, such as dislocations or soft tissue injuries, have been ruled out through clinical evaluation and diagnostic testing.

For the ICD code S72.002A, which pertains to a fracture of the unspecified part of the neck of the left femur, initial encounter for a closed fracture, the relevant CPT codes that may be applicable 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, internal fixation or 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 in the context of surgical and non-surgical interventions for femoral neck fractures. It is important for healthcare providers to select the appropriate CPT code based on the specific treatment provided to ensure accurate billing and reimbursement.

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