S72.052R
S72.052R: Unspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Billable / specific codeICD-10-CMPOA exemptleft
S72.052R is a billable, specific ICD-10-CM code for unspecified fracture of head of left femur, subsequent encounter for open fracture type iiia, iiib, or iiic with malunion. It is valid for submission on a claim.
Check S72.052R with the rest of the claim: free scrubber7th character "R": subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
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 S72.052R
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.052R
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 S72.052R
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
S72.052R 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
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.052
- 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
- S72.052SUnspecified fracture of head of left femur, sequela