Icd 10 code right hip pain after fall

Icd 10 code right hip pain after fall

Icd 10 code right hip pain after fall
Fractures of the proximal femur or hip are quite common in elderly, osteoporotic patients. While many of them are clinically and radiologically obvious, there are fractures more difficult to diagnose. Sometimes, repeat X-ray, CTs and MRIs may be required to confirm the diagnosis. Apart from the complications in establishing the diagnosis, reporting hip fractures is also challenging with ICD-10 medical coding as it requires more specificity and more details.

Hip fractures either involve bone enveloped by the ligamentous hip joint capsule (intracapsular) or the bone below the capsule (extracapsular). There are separate ICD-10 codes for intracapsular and extracapsular fractures.

Intracapsular Fractures

Intercapsular fractures are termed as fractures of the ‘neck of femur’ (NOF) which include fractures below the femoral head (subcapital), across the mid-femoral neck (transcervical) or fractures across the base of the femoral neck (basicervical). You need to choose an appropriate code that reflects the type of fracture (open or closed), laterality (left or right), episode of care (initial, subsequent and sequela) and complications (delayed healing, non-union, malunion). Some of the ICD-10 codes are given below.

  • S72.012K: Unspecified intracapsular fracture of left femur, subsequent encounter for closed fracture with nonunion
  • S72.012M: Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type I or II with nonunion
  • S72.012N: Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion

Extracapsular Fractures

Extracapsular fractures include intertrochanteric (between the trochanters) and subtrochanteric (distal to the trochanters). Such fractures do not involve the neck of the femur. Here also, you should consider the type of fracture, laterality and episode of care. There are separate codes for intertrochanteric and subtrochanteric. Some of them are given below.

Intertrochanteric

  • S72.141A: Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture
  • S72.141B: Displaced intertrochanteric fracture of right femur, initial encounter for open fracture type I or II
  • S72.141C: Displaced intertrochanteric fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
  • S72.141D: Displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing

Subtrochanteric

  • S72.21XA: Displaced subtrochanteric fracture of right femur, initial encounter for closed fracture
  • S72.21XB: Displaced subtrochanteric fracture of right femur, initial encounter for open fracture type I or II
  • S72.21XC: Displaced subtrochanteric fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
  • S72.21XD: Displaced subtrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing

You should also consider the complications associated with intertrochanteric (rarely, nonunion or malunion, degenerative changes) and subtrochanteric (high rates of nonunion and implant, fatigue as a result of high physical stress in the region) to ensure correct coding and quick reimbursement. Consider partnering with certified and professional medical coding experts, if needed.

Osteoporosis ICD-9-CM & ICD-10-CM Codes

         

ICD-9-CM Codes

 

ICD-10-CM Conversion Codes

 

New ICD-10-CM Codes

OSTEOPOROSIS

       

Osteoporosis unspecified: 733.00   

 

M81.0

 

Age-related osteoporosis without current pathological fracture:  M81.0

Senile osteoporosis: 733.01       

 

M81.0

 

Localized osteoporosis [Lequesne]:M81.6

Idiopathic osteoporosis: 733.02       

 

M81.8

 

Other osteoporosis without current pathological fracture: M81.8

Disuse osteoporosis: 733.03       

 

M81.8

 

Adult osteomalacia: M83.x

Other osteoporosis: 733.09        

 

M81.8

   
         

FRAGILITY FRACTURES

       

Hip fracture: 820.0, 820.2, 733.14   

 

S72.019A, S72.023A, S72.033A, S72.043A, S72.099A, S72.109A, S72.143A, S72.23XA, M84.459A   

 

Osteoporosis with current pathological fracture: M80.x

Spine fracture: 805.0, 805.2, 805.4, 805.8, 806.0, 806.2, 806.4, 806.8, 733.13   

 

S12.9XXA, S12.000A, S12.001A, S12.100A, S12.101A, S12.200A, S12.201A, S12.300A, S12.301A, S12.400A, S12.401A, S12.500A, S12.501A, S12.600A, S12.601A, S22.009A, S32.009A, S32.10XA, S32.2XXA, S14.101A, S14.102A, S14.103A, S14.104A, S14.111A, S14.112A,S14.113A, S14.114A, S14.121A, S14.122A, S14.123A, S14.124A, S14.131A, S14.132A, S14.133A, S14.134A, S14.151A, S14.152A, S14.153A, S14.154A, S14.105A,S14.106A, S14.107A, S14.115A, S14.116A, S14.117A, S14.125A, S14.126A, S14.127A, S14.135A, S14.136A, S14.137A, S14.155A, S14.156A, S14.157A, S24.101AS24.102A, S24.111A, S24.112A, S24.131A, S24.132A, S24.151A, S24.152A, S24.103A, S24.104A, S24.113A, S24.114A, S24.133A, S24.134A, S24.153A, S24.154A,S34.109A, S34.119A, S34.129A, S32.009A, S34.101A, S34.111A, S34.121A, S32.019A, S34.102A, S34.112A, S34.122A, S32.029A, S34.103A, S34.113A, S34.123A,S32.039A, S34.104A, S34.114A, S34.124A, S32.049A, S34.105A, S34.115A, S34.125A, S32.059A, S14.109A, S24.109A, S34.109A, S34.139A, M48.50XA, M80.08XA,M84.48XA, M84.68XA

 

Stress fracture: M84.3

Pelvic fracture: 808.0, 808.2, 808.4, 808.8       

 

S32.409A, S32.501A, S32.501A, S32.509A, S32.309A, S32.609A, S32.810A, S32.811A, S32.82XA, S32.89XA, S32.9XXA

 

Pathological fracture, not elsewhere classified: M84.4

Femur (thigh) fracture: 821.0, 821.2, 733.15       

 

S72.90XA, S72.309A, S72.409A, S72.413A, S72.416A, S72.443A, S72.446A, S72.453A, S72.456A, S72.499A, M84.453A

   

Wrist fracture: 813.4, 733.12               

 

S52.90XA, S52.539A, S52.549A, S52.509A, S52.609A, S52.119A, S52.529A, S52.019A, S52.629A, S52.011A, S52.012A, S52.621A, A52.622A, M84.439A

   

Humerus (arm) fracture: 812.0, 812.2, 812.4, 733.1   

 

S42.209A, S42.213A, S42.216A, S42/293A, S42.295A, S42.253A, S42.256A, S42/293A, S42.296A, S42.309A, S42.399A, S42.409A, S42.413A, S42.416A, S42.433A, S42.436A, S42.453A, S42.456A, S42.443A, S42.446A, S42.463A, S42.466A, S42.473A, S42.476A, S42.493A, S42.496A, M84.40XA

   

Edition: 

  • Fourth Edition

Chapter Graphs

Topic Tables

What is diagnosis code R26 81?

ICD-10 code R26. 81 for Unsteadiness on feet is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is the ICD

ICD-10 code W01. 0XXA for Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter is a medical classification as listed by WHO under the range - Other external causes of accidental injury .

What does diagnosis code Z76 89 mean?

ICD-10 code Z76. 89 for Persons encountering health services in other specified circumstances is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD 9 code for M54 50?

M54. 50 (Low back pain, unspecified)