S72.059S
S72.059S: Unspecified fracture of head of unspecified femur, sequela
Billable / specific codeICD-10-CMPOA exempt
S72.059S is a billable, specific ICD-10-CM code for unspecified fracture of head of unspecified femur, sequela. It is valid for submission on a claim.
Check S72.059S with the rest of the claim: free scrubber7th 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 S72.059S
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.059S
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 S72.059S
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
S72.059S is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53064Billing and Coding: Outpatient Occupational Therapy
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.059
- 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