S72.059
S72.059 — Unspecified fracture of head of unspecified femur
Non-billable headerICD-10-CM
S72.059 is a non-billable header ICD-10-CM code for unspecified fracture of head of unspecified 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
Risk adjustment
S72.059 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 to one of these instead S72.059
16 child codes. Green means billable.
- S72.059AUnspecified fracture of head of unspecified femur, initial encounter for closed fracture
- S72.059BUnspecified fracture of head of unspecified femur, initial encounter for open fracture type I or II
- S72.059CUnspecified fracture of head of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.059DUnspecified fracture of head of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.059EUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.059FUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.059GUnspecified fracture of head of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.059HUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.059JUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.059KUnspecified fracture of head of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.059MUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.059NUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.059PUnspecified fracture of head of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.059QUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.059RUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.059SUnspecified fracture of head of unspecified femur, sequela
Related codes at this level
Codes that share S72.05. If S72.059 is not quite right, the correct code is usually one of these.
Questions about S72.059
- Is S72.059 a billable ICD-10-CM code?
- No. S72.059 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.059 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).