S72.043M
S72.043M: Displaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
Billable / specific codeICD-10-CMPOA exempt
S72.043M is a billable, specific ICD-10-CM code for displaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type i or ii with nonunion. It is valid for submission on a claim.
Check S72.043M with the rest of the claim: free scrubber7th character "M": subsequent encounter for open fracture type I or II with nonunion
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 S72.043M
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.043M
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 S72.043M
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
S72.043M 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 S72.043
- S72.043ADisplaced fracture of base of neck of unspecified femur, initial encounter for closed fracture
- S72.043BDisplaced fracture of base of neck of unspecified femur, initial encounter for open fracture type I or II
- S72.043CDisplaced fracture of base of neck of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.043DDisplaced fracture of base of neck of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.043EDisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.043FDisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.043GDisplaced fracture of base of neck of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.043HDisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.043JDisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.043KDisplaced fracture of base of neck of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.043NDisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.043PDisplaced fracture of base of neck of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.043QDisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.043RDisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.043SDisplaced fracture of base of neck of unspecified femur, sequela