S72.001E
S72.001E: Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with routine healing
Billable / specific codeICD-10-CMPOA exemptright
S72.001E is a billable, specific ICD-10-CM code for fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type i or ii with routine healing. It is valid for submission on a claim.
Check S72.001E with the rest of the claim: free scrubber7th character "E": subsequent encounter for open fracture type I or II with routine healing
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
Excludes1 inherited from the categories above S72.001E
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.001E
Not part of this code, but both may be coded when both are present.
Written on S72.0: Fracture of head and neck of femur
Other codes that can never be billed with S72.001E
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.
Medicare coverage
S72.001E is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.001
- S72.001AFracture of unspecified part of neck of right femur, initial encounter for closed fracture
- S72.001BFracture of unspecified part of neck of right femur, initial encounter for open fracture type I or II
- S72.001CFracture of unspecified part of neck of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.001DFracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with routine healing
- S72.001FFracture of unspecified part of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.001GFracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with delayed healing
- S72.001HFracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.001JFracture of unspecified part of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.001KFracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion
- S72.001MFracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.001NFracture of unspecified part of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.001PFracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with malunion
- S72.001QFracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.001RFracture of unspecified part of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.001SFracture of unspecified part of neck of right femur, sequela