S72.019H
S72.019H: Unspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
Billable / specific codeICD-10-CMPOA exempt
S72.019H is a billable, specific ICD-10-CM code for unspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type i or ii with delayed healing. It is valid for submission on a claim.
Check S72.019H with the rest of the claim: free scrubber7th character "H": subsequent encounter for open fracture type I or II 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
Excludes1 inherited from the categories above S72.019H
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.019H
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 S72.019H
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
S72.019H is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.019
- S72.019AUnspecified intracapsular fracture of unspecified femur, initial encounter for closed fracture
- S72.019BUnspecified intracapsular fracture of unspecified femur, initial encounter for open fracture type I or II
- S72.019CUnspecified intracapsular fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.019DUnspecified intracapsular fracture of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.019EUnspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.019FUnspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.019GUnspecified intracapsular fracture of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.019JUnspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.019KUnspecified intracapsular fracture of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.019MUnspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.019NUnspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.019PUnspecified intracapsular fracture of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.019QUnspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.019RUnspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.019SUnspecified intracapsular fracture of unspecified femur, sequela