S72.035J
S72.035J: Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Billable / specific codeICD-10-CMPOA exemptleft
S72.035J is a billable, specific ICD-10-CM code for nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
Check S72.035J with the rest of the claim: free scrubber7th 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
Excludes1 inherited from the categories above S72.035J
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.035J
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 S72.035J
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
S72.035J 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 S72.035
- S72.035ANondisplaced midcervical fracture of left femur, initial encounter for closed fracture
- S72.035BNondisplaced midcervical fracture of left femur, initial encounter for open fracture type I or II
- S72.035CNondisplaced midcervical fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.035DNondisplaced midcervical fracture of left femur, subsequent encounter for closed fracture with routine healing
- S72.035ENondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.035FNondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.035GNondisplaced midcervical fracture of left femur, subsequent encounter for closed fracture with delayed healing
- S72.035HNondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.035KNondisplaced midcervical fracture of left femur, subsequent encounter for closed fracture with nonunion
- S72.035MNondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.035NNondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.035PNondisplaced midcervical fracture of left femur, subsequent encounter for closed fracture with malunion
- S72.035QNondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.035RNondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.035SNondisplaced midcervical fracture of left femur, sequela