S72.4
Fracture of lower end of femur
Clinical Classification Guidelines
Inclusion Terms
- Fracture of distal end of femur
Excludes Type 2
- fracture of shaft of femur (S72.3-)
- physeal fracture of lower end of femur (S79.1-)
Medical Intelligence & Overview
A fracture of the lower end of the femur, also known as the distal femur, is a break that occurs at the bottom part of the thigh bone near the knee. This type of fracture is common among older adults, especially those with osteoporosis, and can result from falls or direct trauma. The injury can significantly impact mobility and may require medical intervention to promote healing and restore function.
Causes & Symptoms
Clinical Causes: Falls, particularly in elderly individuals Trauma from accidents, such as car or bike collisions Sports injuries involving high impact or twisting motions Osteoporosis weakening the bone, making it more susceptible to fractures Direct blows or impacts to the knee area
Key Symptoms: Sudden and severe pain around the knee or thigh Swelling and tenderness near the lower thigh or knee joint Inability or difficulty moving the knee or bearing weight Deformity, such as shortening or angulation of the leg Bruising around the injured area A grinding or cracking sensation when trying to move the leg
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a physical examination, where a healthcare provider assesses swelling, tenderness, and deformity. Imaging tests are crucial for confirming the fracture's location and severity. These include:
Treatment Protocols: Treatment for a fracture of the lower end of the femur depends on the fracture's severity and the patient's overall health. Approaches generally include:
Clinical Advice & FAQs
Billing Guidance
Is S72.4 a billable ICD-10 code?
Yes, S72.4 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S72.4?
Clinical documentation must specify the nature of Fracture of lower end of femur and any associated comorbidities for accurate reporting.
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