S72.115M
S72.115M: Nondisplaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type I or II with nonunion
Billable / specific codeICD-10-CMPOA exemptleft
S72.115M is a billable, specific ICD-10-CM code for nondisplaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type i or ii with nonunion. It is valid for submission on a claim.
Check S72.115M with the rest of the claim: free scrubber7th character "M": subsequent encounter for open fracture type I or II with nonunion
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 S72.115M
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.115M
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.115M
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
S72.115M is named in 11 Medicare coverage policies: 11 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 S72.115
- S72.115ANondisplaced fracture of greater trochanter of left femur, initial encounter for closed fracture
- S72.115BNondisplaced fracture of greater trochanter of left femur, initial encounter for open fracture type I or II
- S72.115CNondisplaced fracture of greater trochanter of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.115DNondisplaced fracture of greater trochanter of left femur, subsequent encounter for closed fracture with routine healing
- S72.115ENondisplaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.115FNondisplaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.115GNondisplaced fracture of greater trochanter of left femur, subsequent encounter for closed fracture with delayed healing
- S72.115HNondisplaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.115JNondisplaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.115KNondisplaced fracture of greater trochanter of left femur, subsequent encounter for closed fracture with nonunion
- S72.115NNondisplaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.115PNondisplaced fracture of greater trochanter of left femur, subsequent encounter for closed fracture with malunion
- S72.115QNondisplaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.115RNondisplaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.115SNondisplaced fracture of greater trochanter of left femur, sequela