S72.05
S72.05 — Unspecified fracture of head of femur
Non-billable headerICD-10-CM
S72.05 is a non-billable header ICD-10-CM code for unspecified fracture of head of 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Fracture of head of femur NOS
Risk adjustment
S72.05 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 S72.05
3 child codes. Green means billable.
Related codes at this level
Codes that share S72.0. If S72.05 is not quite right, the correct code is usually one of these.
- S72.00Fracture of unspecified part of neck of femur
- S72.01Unspecified intracapsular fracture of femur
- S72.02Fracture of epiphysis (separation) (upper) of femur
- S72.03Midcervical fracture of femur
- S72.04Fracture of base of neck of femur
- S72.06Articular fracture of head of femur
- S72.09Other fracture of head and neck of femur
Questions about S72.05
- Is S72.05 a billable ICD-10-CM code?
- No. S72.05 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.05 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).