ICD-10-CM Billable Code

S72.416

Nondisplaced unspecified condyle fracture of lower end of unspecified femur

Clinical Classification Guidelines

Medical Intelligence & Overview

A nondisplaced unspecified condyle fracture of the lower end of the femur involves a break in one of the rounded projections at the end of the thigh bone — the femur — without the broken pieces moving out of their normal alignment. This type of fracture is considered less severe than displaced fractures but still requires medical attention to promote proper healing. The condition is categorized under ICD-10 code S72.416, indicating an unspecified femoral condyle fracture that is nondisplaced.

Causes & Symptoms

Clinical Causes: Trauma from falls, direct blows, or accidents resulting in impact to the knee or thigh region Sports injuries involving twisting or direct collision High-impact events such as vehicle collisions

Key Symptoms: Pain around the knee or lower thigh area, especially at the site of the fracture Swelling or tenderness near the lower end of the femur Limited range of motion in the knee joint Possible bruising or discoloration around the injury site Difficulty bearing weight or walking without assistance

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a combination of physical examination and imaging studies. The healthcare provider assesses the injury site for tenderness, swelling, and deformity. X-rays are the primary imaging modality used to visualize the fracture, confirming its nondisplaced status and identifying whether a specific condyle (medial or lateral) is affected. In some cases, additional imaging such as MRI or CT scans may be utilized for detailed assessment, especially if associated ligament injuries or other complications are suspected.

Treatment Protocols: Treatment strategies focus on ensuring proper healing and restoring function. Approaches may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S72.416 a billable ICD-10 code?
Yes, S72.416 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S72.416?
Clinical documentation must specify the nature of Nondisplaced unspecified condyle fracture of lower end of unspecified femur and any associated comorbidities for accurate reporting.

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