S72.066B: Nondisplaced articular fracture of head of unspecified femur, initial encounter for open fracture type I or II
S72.066B is a billable, specific ICD-10-CM code for nondisplaced articular fracture of head of unspecified femur, initial encounter for open fracture type i or ii. It is valid for submission on a claim.
Check S72.066B with the rest of the claim: free scrubber7th character "B": initial encounter for open fracture type I or II
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 S72.066B
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.066B
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 S72.066B
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.066B risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 402 Hip Fracture/Dislocation0.467 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
S72.066B is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.066
- S72.066ANondisplaced articular fracture of head of unspecified femur, initial encounter for closed fracture
- S72.066CNondisplaced articular fracture of head of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.066DNondisplaced articular fracture of head of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.066ENondisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.066FNondisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.066GNondisplaced articular fracture of head of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.066HNondisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.066JNondisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.066KNondisplaced articular fracture of head of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.066MNondisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.066NNondisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.066PNondisplaced articular fracture of head of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.066QNondisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.066RNondisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.066SNondisplaced articular fracture of head of unspecified femur, sequela