S72.052 — Unspecified fracture of head of left femur
S72.052 is a non-billable header ICD-10-CM code for unspecified fracture of head of left 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
Excludes1 inherited from the categories above S72.052
These are not written on S72.052, but they bind it: a note on a category applies to every code beneath it. Billing S72.052 with anything listed here is a denial.
Excludes2 inherited from the categories above S72.052
Also inherited, and the opposite of Excludes1: these conditions are not part of S72.052, but a patient can have both, so you may code both.
Written on S72.0 — Fracture of head and neck of femur
Other codes that can never be billed with S72.052
These codes carry an Excludes1 note pointing at S72.052. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S72.052 alone.
Risk adjustment
S72.052 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 history
S72.052 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead S72.052
16 child codes. Green means billable.
- S72.052AUnspecified fracture of head of left femur, initial encounter for closed fracture
- S72.052BUnspecified fracture of head of left femur, initial encounter for open fracture type I or II
- S72.052CUnspecified fracture of head of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.052DUnspecified fracture of head of left femur, subsequent encounter for closed fracture with routine healing
- S72.052EUnspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.052FUnspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.052GUnspecified fracture of head of left femur, subsequent encounter for closed fracture with delayed healing
- S72.052HUnspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.052JUnspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.052KUnspecified fracture of head of left femur, subsequent encounter for closed fracture with nonunion
- S72.052MUnspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.052NUnspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.052PUnspecified fracture of head of left femur, subsequent encounter for closed fracture with malunion
- S72.052QUnspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.052RUnspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.052SUnspecified fracture of head of left femur, sequela
Related codes at this level
Codes that share S72.05. If S72.052 is not quite right, the correct code is usually one of these.
Questions about S72.052
- Is S72.052 a billable ICD-10-CM code?
- No. S72.052 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.052 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).
- What cannot be coded together with S72.052?
- S72.052 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S72.052 (S72) and apply to it just the same.