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Displaced intertrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with routine healing
ICD10CM code
Displaced Intertrochanteric Fracture of Unspecified Femur, Subsequent Encounter for Closed Fracture with Routine Healing (S72.143D)
Summary
A displaced intertrochanteric fracture occurs in the region between the neck and the shaft of the femur, often characterized by a break that disrupts the normal alignment. This summary covers a subsequent encounter for a closed fracture, indicating ongoing routine healing after initial treatment.
Causes
These fractures are commonly caused by high-impact trauma in younger individuals or from falls in the elderly, often due to osteoporosis.
Risk Factors
- Age (particularly older adults)
- Osteoporosis or other bone-weakening conditions
- Previous history of falls or fractures
- Sedentary lifestyle
Symptoms
- Severe pain in the hip or upper thigh area
- Swelling and bruising around the hip
- Inability to bear weight or move the affected leg
- Shortening or abnormal rotation of the leg
Diagnosis
- Physical examination
- Imaging tests such as X-rays or MRI to assess fracture alignment and healing progress
Treatment Options
- Surgical intervention (e.g., internal fixation or hip replacement) to align and stabilize the bone
- Rehabilitation and physical therapy to regain mobility and strength
- Pain management strategies, including medications
Prognosis and Follow-Up
- Typically favorable outlook with routine healing, especially with surgical intervention
- Follow-up visits to monitor bone healing and hip function
- Rehabilitation is crucial for restoring mobility
Complications
- Delayed healing or malunion
- Potential risk of hip avascular necrosis
- Muscular weakness if physical therapy is not adhered to
Lifestyle & Prevention
- Engaging in weight-bearing exercises to strengthen bones
- Adequate calcium and vitamin D intake
- Fall-prevention strategies, especially for older adults
When to Seek Professional Help
- Persistent or worsening pain and swelling
- Signs of infection or fever after surgery
- Difficulty in weight-bearing even after initial recovery
Additional Resources
Tips for Medical Coders
- Ensure the encounter is coded as subsequent, indicating a follow-up visit rather than initial treatment.
- Confirm the healing status as "routine," which impacts coding specificity.
- Avoid misclassifying as open if the clinical documentation specifies a closed fracture.