S72.046M
S72.046M: Nondisplaced 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
S72.046M is a billable, specific ICD-10-CM code for nondisplaced 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 S72.046M 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 S72.046M
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.046M
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 S72.046M
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
S72.046M 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 S72.046
- S72.046ANondisplaced fracture of base of neck of unspecified femur, initial encounter for closed fracture
- S72.046BNondisplaced fracture of base of neck of unspecified femur, initial encounter for open fracture type I or II
- S72.046CNondisplaced fracture of base of neck of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.046DNondisplaced fracture of base of neck of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.046ENondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.046FNondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.046GNondisplaced fracture of base of neck of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.046HNondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.046JNondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.046KNondisplaced fracture of base of neck of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.046NNondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.046PNondisplaced fracture of base of neck of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.046QNondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.046RNondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.046SNondisplaced fracture of base of neck of unspecified femur, sequela