S72.091Q — Other fracture of head and neck of right femur, subsequent encounter for open fracture type I or II with malunion
S72.091Q is a billable, specific ICD-10-CM code for other fracture of head and neck of right femur, subsequent encounter for open fracture type i or ii with malunion. It is valid for submission on a claim.
7th character "Q" — subsequent encounter for open fracture type I or II with malunion
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 S72.091Q
These are not written on S72.091Q, but they bind it: a note on a category applies to every code beneath it. Billing S72.091Q with anything listed here is a denial.
Excludes2 inherited from the categories above S72.091Q
Also inherited, and the opposite of Excludes1: these conditions are not part of S72.091Q, 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 S72.091Q
These codes carry an Excludes1 note pointing at S72.091Q. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S72.091Q alone.
Risk adjustment
S72.091Q 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
S72.091Q is named in 10 Medicare coverage policies — 10 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
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- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
S72.091Q 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 S72.091. If S72.091Q is not quite right, the correct code is usually one of these.
- S72.091AOther fracture of head and neck of right femur, initial encounter for closed fracture
- S72.091BOther fracture of head and neck of right femur, initial encounter for open fracture type I or II
- S72.091COther fracture of head and neck of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.091DOther fracture of head and neck of right femur, subsequent encounter for closed fracture with routine healing
- S72.091EOther fracture of head and neck of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.091FOther fracture of head and neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.091GOther fracture of head and neck of right femur, subsequent encounter for closed fracture with delayed healing
- S72.091HOther fracture of head and neck of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.091JOther fracture of head and neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.091KOther fracture of head and neck of right femur, subsequent encounter for closed fracture with nonunion
- S72.091MOther fracture of head and neck of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.091NOther fracture of head and neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.091POther fracture of head and neck of right femur, subsequent encounter for closed fracture with malunion
- S72.091ROther fracture of head and neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.091SOther fracture of head and neck of right femur, sequela
Questions about S72.091Q
- Is S72.091Q a billable ICD-10-CM code?
- Yes. S72.091Q is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.091Q 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 S72.091Q?
- S72.091Q 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 S72.091Q (S72) and apply to it just the same.