S72.051A: Unspecified fracture of head of right femur, initial encounter for closed fracture
S72.051A is a billable, specific ICD-10-CM code for unspecified fracture of head of right femur, initial encounter for closed fracture. It is valid for submission on a claim.
Check S72.051A with the rest of the claim: free scrubber7th character "A": initial encounter for closed fracture
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 S72.051A
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.051A
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 S72.051A
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.051A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 402 Hip Fracture/Dislocation0.467 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
S72.051A is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53065Billing and Coding: Outpatient Physical Therapy
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56777Billing and Coding: Total Joint Arthroplasty
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.051
- S72.051BUnspecified fracture of head of right femur, initial encounter for open fracture type I or II
- S72.051CUnspecified fracture of head of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.051DUnspecified fracture of head of right femur, subsequent encounter for closed fracture with routine healing
- S72.051EUnspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.051FUnspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.051GUnspecified fracture of head of right femur, subsequent encounter for closed fracture with delayed healing
- S72.051HUnspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.051JUnspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.051KUnspecified fracture of head of right femur, subsequent encounter for closed fracture with nonunion
- S72.051MUnspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.051NUnspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.051PUnspecified fracture of head of right femur, subsequent encounter for closed fracture with malunion
- S72.051QUnspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.051RUnspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.051SUnspecified fracture of head of right femur, sequela