A 'billable code' is detailed enough to be used to specify a medical diagnosis. Closed fracture of right femur Right femur (upper leg bone) fracture ICD-10-CM S72.91XA is grouped within Diagnostic Related Group(s) (MS-DRG v 40. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. S72.001D is a billable ICD code used to specify a diagnosis of fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with routine healing. It is found in the 2023 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from. POA Indicators on CMS form 4010A are as follows: Indicatorĭiagnosis was present at time of inpatient admissionĭiagnosis was not present at time of inpatient admissionĭocumentation insufficient to determine if the condition was present at the time of inpatient admission.Ĭlinically undetermined. S72.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed The open fracture designations are based on the Gustilo open fracture classification Excludes1: traumatic amputation of hip and thigh (S78. S89.191A is a valid billable ICD-10 diagnosis code for Other physeal fracture of lower end of right tibia, initial encounter for closed fracture. A 'billable code' is detailed enough to be used to specify a medical diagnosis. S72.001D is a billable ICD code used to specify a diagnosis of fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with routine healing. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A. POA Exempt Code The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes.
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