ICD-10-CM Billable Code

S79.091

Other physeal fracture of upper end of right femur

Clinical Classification Guidelines

Medical Intelligence & Overview

A physeal fracture refers to a break involving the growth plate of a bone. The specific ICD-10 code S79.091 indicates an 'Other physeal fracture of the upper end of the right femur.' Such injuries typically occur in children and adolescents whose bones are still growing. The upper end of the thigh bone (femur) contains the growth plate, which is responsible for bone development. Fractures in this region can affect future bone growth if not properly managed.

Causes & Symptoms

Clinical Causes: Trauma or direct blow to the hip or upper thigh, such as falls or sports injuries Twisting or rotational injuries during physical activity Accidental impacts during car accidents or falls from height Very rarely, pathological fractures related to bone diseases

Key Symptoms: Sudden onset of intense pain in the hip or upper thigh Swelling and tenderness around the hip area Difficulty moving or bearing weight on the affected leg Deformity or abnormal positioning of the thigh or hip Limited range of motion in the hip joint

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically begins with a physical examination, where healthcare providers look for swelling, deformity, or tenderness. Imaging studies are essential for confirming the type and extent of the fracture:

Treatment Protocols: Management depends on the severity and type of the fracture, and 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 S79.091 a billable ICD-10 code?
Yes, S79.091 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S79.091?
Clinical documentation must specify the nature of Other physeal fracture of upper end of right femur and any associated comorbidities for accurate reporting.

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