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Displaced intertrochanteric fracture of left femur, subsequent encounter for closed fracture with delayed healing

ICD10CM code
#### Name of the Condition
- Displaced Intertrochanteric Fracture of Left Femur

#### Summary
A displaced intertrochanteric fracture of the left femur refers to a break occurring between the greater and lesser trochanters of the femur, primarily affecting the hip region. A subsequent encounter with delayed healing indicates that the healing process is slower than expected.

#### Causes
- Trauma such as falls or direct impact to the hip
- Osteoporosis, making the bones brittle and more susceptible to fractures

#### Risk Factors
- Advanced age, particularly in the elderly
- Osteoporosis or other conditions weakening the bones
- Previous history of fractures or falls
- Sedentary lifestyle or lack of physical activity

#### Symptoms
- Severe pain in the hip or groin
- Inability to move immediately following a fall
- Bruising or swelling in the hip area
- Leg appearing shorter or turning outward

#### Diagnosis
- Physical examination to assess pain and mobility
- Imaging tests like X-rays or MRI to visualize the fracture

#### Treatment Options
- Surgical options such as internal fixation or hip replacement to realign and stabilize the fracture
- Physical therapy to regain strength and mobility post-surgery
- Pain management with medications

#### Prognosis and Follow-Up
- Generally favorable with appropriate surgical intervention and rehabilitation
- Regular follow-ups are crucial to monitor healing and adjust treatment plans as needed

#### Complications
- Potential for nonunion or malunion if not treated adequately
- Increased risk of re-fracture
- Prolonged immobility can lead to other health issues like blood clots or muscle atrophy

#### Lifestyle & Prevention
- Engaging in regular weight-bearing exercises to strengthen bones
- Ensuring adequate calcium and vitamin D intake
- Implementing fall prevention strategies at home for the elderly

#### When to Seek Professional Help
- Sudden inability to bear weight on the affected leg
- Increased pain or swelling in the hip area
- Any signs of infection like fever following surgery

#### Additional Resources
- [American Academy of Orthopaedic Surgeons (AAOS)](https://www.aaos.org/)
- [National Osteoporosis Foundation](https://www.nof.org/)

#### Tips for Medical Coders
- Ensure that the code 'S72.142G' accurately represents the condition as a subsequent encounter for a closed fracture with delayed healing.
- Verify documentation to determine the fracture type and laterality, which are crucial for precise coding.

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