S72.091R
S72.091R: Other fracture of head and neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Billable / specific codeICD-10-CMPOA exemptright
S72.091R is a billable, specific ICD-10-CM code for other fracture of head and neck of right femur, subsequent encounter for open fracture type iiia, iiib, or iiic with malunion. It is valid for submission on a claim.
Check S72.091R with the rest of the claim: free scrubber7th character "R": subsequent encounter for open fracture type IIIA, IIIB, or IIIC 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 S72.091R
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.091R
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 S72.091R
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
S72.091R is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.091
- 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
- S72.091QOther fracture of head and neck of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.091SOther fracture of head and neck of right femur, sequela