S72.052S — Unspecified fracture of head of left femur, sequela
S72.052S is a billable, specific ICD-10-CM code for unspecified fracture of head of left femur, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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 S72.052S
These are not written on S72.052S, but they bind it: a note on a category applies to every code beneath it. Billing S72.052S with anything listed here is a denial.
Excludes2 inherited from the categories above S72.052S
Also inherited, and the opposite of Excludes1: these conditions are not part of S72.052S, 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 S72.052S
These codes carry an Excludes1 note pointing at S72.052S. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S72.052S alone.
Risk adjustment
S72.052S 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.
Medicare coverage
S72.052S is named in 11 Medicare coverage policies — 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52465Knee Orthoses - Policy Article
- A52465Knee Orthoses - Policy Article
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
Code history
S72.052S has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S72.052. If S72.052S is not quite right, the correct code is usually one of these.
- 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
Questions about S72.052S
- Is S72.052S a billable ICD-10-CM code?
- Yes. S72.052S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.052S 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 S72.052S?
- S72.052S 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 S72.052S (S72) and apply to it just the same.