S72.026
S72.026 — Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur
Non-billable headerICD-10-CM
S72.026 is a non-billable header ICD-10-CM code for nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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
S72.026 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.
Code to one of these instead S72.026
16 child codes. Green means billable.
- S72.026ANondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for closed fracture
- S72.026BNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for open fracture type I or II
- S72.026CNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.026DNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.026ENondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.026FNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.026GNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.026HNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.026JNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.026KNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.026MNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.026NNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.026PNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.026QNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.026RNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.026SNondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, sequela
Related codes at this level
Codes that share S72.02. If S72.026 is not quite right, the correct code is usually one of these.
- S72.021Displaced fracture of epiphysis (separation) (upper) of right femur
- S72.022Displaced fracture of epiphysis (separation) (upper) of left femur
- S72.023Displaced fracture of epiphysis (separation) (upper) of unspecified femur
- S72.024Nondisplaced fracture of epiphysis (separation) (upper) of right femur
- S72.025Nondisplaced fracture of epiphysis (separation) (upper) of left femur
Questions about S72.026
- Is S72.026 a billable ICD-10-CM code?
- No. S72.026 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.026 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).