S72.0
S72.0: Fracture of head and neck of femur
Non-billable headerICD-10-CM
S72.0 is a non-billable header ICD-10-CM code for fracture of head and neck of femur. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to all codes from category S72
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture type I or II
- C
- initial encounter for open fracture type IIIA, IIIB, or IIIC
- D
- subsequent encounter for closed fracture with routine healing
- E
- subsequent encounter for open fracture type I or II with routine healing
- F
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- G
- subsequent encounter for closed fracture with delayed healing
- H
- subsequent encounter for open fracture type I or II with delayed healing
- J
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- K
- subsequent encounter for closed fracture with nonunion
- M
- subsequent encounter for open fracture type I or II with nonunion
- N
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- P
- subsequent encounter for closed fracture with malunion
- Q
- subsequent encounter for open fracture type I or II with malunion
- R
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S
- sequela
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Excludes1 inherited from the categories above S72.0
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.0
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S72.0
8 child codes. Green means billable.
- S72.00Fracture of unspecified part of neck of femur
- S72.01Unspecified intracapsular fracture of femur
- S72.02Fracture of epiphysis (separation) (upper) of femur
- S72.03Midcervical fracture of femur
- S72.04Fracture of base of neck of femur
- S72.05Unspecified fracture of head of femur
- S72.06Articular fracture of head of femur
- S72.09Other fracture of head and neck of femur