S72.022R
S72.022R: Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Billable / specific codeICD-10-CMPOA exemptleft
S72.022R is a billable, specific ICD-10-CM code for displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type iiia, iiib, or iiic with malunion. It is valid for submission on a claim.
Check S72.022R with the rest of the claim: free scrubber7th character "R": subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
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 S72.022R
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 S72.022R
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 S72.022R
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
S72.022R is named in 12 Medicare coverage policies: 12 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 S72.022
- S72.022ADisplaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for closed fracture
- S72.022BDisplaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type I or II
- S72.022CDisplaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.022DDisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with routine healing
- S72.022EDisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.022FDisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.022GDisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with delayed healing
- S72.022HDisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.022JDisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.022KDisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with nonunion
- S72.022MDisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.022NDisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.022PDisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with malunion
- S72.022QDisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.022SDisplaced fracture of epiphysis (separation) (upper) of left femur, sequela