S72.052S
S72.052S — Unspecified fracture of head of left femur, sequela
Billable / specific codeICD-10-CMPOA exemptleft
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
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
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).