S72.009J
S72.009J — Fracture of unspecified part of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Billable / specific codeICD-10-CMPOA exempt
S72.009J is a billable, specific ICD-10-CM code for fracture of unspecified part of neck of unspecified femur, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
7th character "J" — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed 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
Risk adjustment
S72.009J does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S72.009J is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57311Billing and Coding: Physical Therapy - Home Health
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
Related codes at this level
Codes that share S72.009. If S72.009J is not quite right, the correct code is usually one of these.
- S72.009AFracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture
- S72.009BFracture of unspecified part of neck of unspecified femur, initial encounter for open fracture type I or II
- S72.009CFracture of unspecified part of neck of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.009DFracture of unspecified part of neck of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.009EFracture of unspecified part of neck of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.009FFracture of unspecified part of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.009GFracture of unspecified part of neck of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.009HFracture of unspecified part of neck of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.009KFracture of unspecified part of neck of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.009MFracture of unspecified part of neck of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.009NFracture of unspecified part of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.009PFracture of unspecified part of neck of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.009QFracture of unspecified part of neck of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.009RFracture of unspecified part of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.009SFracture of unspecified part of neck of unspecified femur, sequela
Questions about S72.009J
- Is S72.009J a billable ICD-10-CM code?
- Yes. S72.009J is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.009J 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).