S72.002A
S72.002A — Fracture of unspecified part of neck of left femur, initial encounter for closed fracture
Billable / specific codeICD-10-CMleft
S72.002A is a billable, specific ICD-10-CM code for fracture of unspecified part of neck of left femur, initial encounter for closed fracture. It is valid for submission on a claim.
7th character "A" — initial encounter for closed fracture
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
Risk adjustment
S72.002A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 402 Hip Fracture/Dislocation0.467 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
S72.002A is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52465Knee Orthoses - Policy Article
- A52465Knee Orthoses - Policy Article
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Related codes at this level
Codes that share S72.002. If S72.002A is not quite right, the correct code is usually one of these.
- S72.002BFracture of unspecified part of neck of left femur, initial encounter for open fracture type I or II
- S72.002CFracture of unspecified part of neck of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.002DFracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing
- S72.002EFracture of unspecified part of neck of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.002FFracture of unspecified part of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.002GFracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with delayed healing
- S72.002HFracture of unspecified part of neck of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.002JFracture of unspecified part of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.002KFracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion
- S72.002MFracture of unspecified part of neck of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.002NFracture of unspecified part of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.002PFracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with malunion
- S72.002QFracture of unspecified part of neck of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.002RFracture of unspecified part of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.002SFracture of unspecified part of neck of left femur, sequela
Questions about S72.002A
- Is S72.002A a billable ICD-10-CM code?
- Yes. S72.002A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.002A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).