S72.024H Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with delayed healing

ICD10CM code

#### Name of the Condition
- Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with delayed healing
- ICD Code: S72.024H

#### Summary
This condition refers to a nondisplaced fracture involving the growth plate (epiphysis) of the upper right femur. The specific episode concerns delayed healing in a patient receiving treatment for an open fracture type I or II during a subsequent medical encounter.

#### Causes
- Injuries from falls, sports, or high-impact events
- Trauma from accidents or physical activities

#### Risk Factors
- Adolescence, as growth plates are more susceptible
- Involvement in high-impact sports
- Previous fractures or bone conditions

#### Symptoms
- Pain and swelling in the hip or thigh region
- Difficulty walking or bearing weight on the affected leg
- Bruising or tenderness at the injury site

#### Diagnosis
- Physical examination assessing swelling and range of motion
- Imaging tests such as X-rays, MRI, or CT scans to visualize the fracture
- Follow-up imaging to assess healing progress

#### Treatment Options
- Immobilization using casting or bracing to promote healing
- Surgical intervention in cases where alignment needs correction
- Physical therapy post-healing to regain strength and mobility

#### Prognosis and Follow-Up
- Healing time may be extended due to the delayed healing status
- Regular follow-ups necessary to monitor bone repair and address complications
- Most patients recover fully with proper treatment

#### Complications
- Potential for impaired growth if the growth plate is affected
- Risks of infection in open fractures
- Possibility of long-term joint issues or improper bone alignment

#### Lifestyle & Prevention
- Ensure adequate calcium and vitamin D intake for bone health
- Use of protective gear during sports or high-risk activities
- Early medical intervention for bone injuries

#### When to Seek Professional Help
- Persistent pain or swelling despite rest
- Inability to move the leg or bear weight
- Signs of infection like fever or redness around the injury

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS)
- Pediatric Orthopedic Society of North America (POSNA)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

#### Tips for Medical Coders
- Ensure the specificity of the code by including details about the type and status of the fracture
- Verify the encounter type (subsequent) and healing status (delayed)
- Avoid coding errors by double-checking documentation regarding the fracture's classification and healing progress

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