S72.021S
S72.021S: Displaced fracture of epiphysis (separation) (upper) of right femur, sequela
Billable / specific codeICD-10-CMPOA exemptright
S72.021S is a billable, specific ICD-10-CM code for displaced fracture of epiphysis (separation) (upper) of right femur, sequela. It is valid for submission on a claim.
Check S72.021S with the rest of the claim: free scrubber7th character "S": sequela
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 S72.021S
A category’s note binds every code beneath it.
Written on S72.02: Fracture of epiphysis (separation) (upper) of femur
Excludes2 inherited from the categories above S72.021S
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 S72.021S
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
S72.021S is named in 15 Medicare coverage policies: 15 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.021
- S72.021ADisplaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture
- S72.021BDisplaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for open fracture type I or II
- S72.021CDisplaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.021DDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with routine healing
- S72.021EDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.021FDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.021GDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with delayed healing
- S72.021HDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.021JDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.021KDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with nonunion
- S72.021MDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.021NDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.021PDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with malunion
- S72.021QDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.021RDisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion